Individual provider Active NPI

Nicholas Moore, MD

  • Ophthalmology Physician
  • Marion, OH
National Provider Identifier
1770978645
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.135378 Issued in OH
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

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 4 clinicians

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 Hospital, Mechanicsville, VA, CCN 490069

Merit-based Incentive Payment System (MIPS)

Final score
94.32 of 100Reported as group
Quality
100
Improvement activities
40
Cost
81.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.135378OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Eye Center, Inc Single Specialty CurrentSince Mar 15, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.