Active NPI
Nicholas Moore, MD
- Ophthalmology Physician
- Marion, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35.135378
- Practice address
- 1462 Marion Waldo Rd
Marion, OH 43302 - Phone
- (740) 389-5418
- Fax
- (740) 389-5410
- NPI assigned
- Mar 30, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35.135378 | OH | Primary |
Addresses
Primary practice location
1462 Marion Waldo Rd
Marion, OH 43302
Mailing address
1462 Marion Waldo Rd
Marion, OH 43302-7422
Phone (740) 389-5418
Other practice location 1
241 Paddock Ct
Delaware, OH 43015-1317
Phone (740) 362-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190429000388 | OH | Practitioner - Ophthalmology | 5294056966 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Wright State University Boonshoft School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marion Eye Center Inc
Practice addresses (Care Compare)
1462 Marion Waldo Rd
Marion, OH 43302-7422
Phone (740) 389-5418
Hospital & facility affiliations
- Bon Secours Memorial Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.32 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 81.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 142 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.135378 | OH | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Eye Center, Inc | Single Specialty | Current | Accepting new patients |
Locations
241 Paddock Ct
Delaware, OH 43015
Phone (740) 362-8686
1462 Marion Waldo Rd
Marion, OH 43302
Phone (740) 389-5418
Interoperability endpoints
- moore@marioneyecenter.direct.eyemdemr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- Marion, OH
- NPI 1275792541
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mechanicsville, VA
- NPI 1912969064
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1770978645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1462 MARION WALDO RD",
"city": "MARION",
"state": "OH",
"postal_code": "433027422",
"telephone_number": "740-389-5418",
"fax_number": "740-389-5410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1462 MARION WALDO RD",
"city": "MARION",
"state": "OH",
"postal_code": "43302",
"telephone_number": "740-389-5418",
"fax_number": "740-389-5410"
}
],
"practiceLocations": [
{
"address_1": "241 Paddock Ct",
"address_purpose": "LOCATION",
"city": "Delaware",
"state": "OH",
"postal_code": "430151317",
"country_code": "US",
"telephone_number": "740-362-1100",
"fax_number": "740-362-1911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-30",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "OH",
"license": "35.135378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.