Lee Ellis Moore, M.D.

Primary specialty

Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X

License

27439 Issued in MS

Practice address

501 Baptist Dr Ste 220
Madison, MS 39110-2031

Phone

(601) 985-9120

NPI assigned

Jun 12, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Mississippi School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rayner Eye Clinic, LLCGroup PAC ID 9537136577, 10 clinicians

Ophthalmology Consultants, PLLCGroup PAC ID 2365821790, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
• St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048

Merit-based Incentive Payment System (MIPS)

Final score

90.69 of 100Reported as individual

Quality

95.4

Improvement activities

40

Cost

75.11

Merit-based Incentive Payment System (MIPS)

Final score

79.83 of 100Reported as group

Quality

95.68

Promoting interoperability

100

Improvement activities

40

Cost

37.09

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ophthalmology Consultants, PLLC

  dba Eye Group

  • Ophthalmology Physician
  • Madison, MS
  • NPI 1770221301
  Medicare reassignment Care Compare group NPD Authorized official
• Rayner Eye Clinic, LLC

  • Clinic/Center
  • Oxford, MS
  • NPI 1326148578
  Medicare reassignment Care Compare group NPD
• The Eye Surgery and Laser Center

  • Ophthalmologic Surgery Clinic/Center
  • Madison, MS
  • NPI 1336236710
  Authorized official Same address or phone
• Rayner Optical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oxford, MS
  • NPI 1306957709
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mississippi Baptist Medical Center, Inc.

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1710909585
  Care Compare affiliation
• St Dominic-Jackson Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1306876065
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1699156950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BAPTIST DR STE 220",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102031",
            "telephone_number": "601-985-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BAPTIST DR STE 220",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102031",
            "telephone_number": "601-985-9120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 Stanton L Young Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045014",
            "country_code": "US",
            "telephone_number": "405-271-7816",
            "fax_number": "405-271-3013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LEE",
        "middle_name": "ELLIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "209770",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "34523",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "MS",
            "license": "27439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Brooks Montgomery, MD
• Latrena Montgomery, FNP-C
• Susan Leigh Montgomery, FNP
• Elizabeth Bryce Mooney, PT
• Ellen Peyton Moore, DNP, APRN, AGPCNP-BC
• Morgan Moore, NP
• More MD LLC
• More Than Words, LLC (Kristy L Johnson Taylor)
• Melanie L Moreau, LCSW
• Jacob Ira Morgan, M.D.

• Cornea and External Diseases Specialist Physician in Madison, MS
• Providers in Madison, MS by specialty
• Cornea and External Diseases Specialist Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.