DR. CAROLYN SHAY MOORE (MD) – Family Medicine Physician, NPI 1881821296
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,660 FAMILY PRACTICE in CO
Provider Addresses for DR. CAROLYN SHAY MOORE (MD)
4380 AUSTIN BLUFFS PKWY
COLORADO SPRINGS, CO 809182932
Phone: (719) 259-6566
Type: Mailing
2877 E Fountain Blvd
Colorado Springs, CO 809102312
Phone: (719) 454-6009
Fax: (719) 258-1319
Type: Location
3210 N Academy Blvd Ste 1
Colorado Springs, CO 809175158
Phone: (719) 733-3131
Fax: (719) 463-0295
Type: Location
Beet Box, 1030, East 22nd Avenue, Five Points, Denver, Denver County, Colorado, 80205, United States
DENVER, CO 802911057
Phone: (800) 953-0104
Fax: (303) 765-6640
Type: Mailing
Penrose-St. Francis Urgent Care, 3027, North Circle Drive, Papeton, Colorado Springs, El Paso County, Colorado, 80909, United States
COLORADO SPRINGS, CO 80909
Phone: (719) 776-4646
Fax: (719) 776-4640
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $221.
Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($198).
Total Amount
$221
General + Research + Ownership
Payments
3
Total payment records
General Amount
$221
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $198 |
| Hologic Sales and Service, LLC | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-07-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190717003958 | I | Family Practice | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 104 | 48 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 57 | 57 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 56 | 51 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 36 | 36 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 33 | 31 | $0 |
Insurance plans in this area (ZIP 80918)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO | |
| Internal Medicine | TX | |
| Internal Medicine | TX | |
| Internal Medicine | MD |
Reviews
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