DR. FLETCHER STUART MOORE (M.D.) – Anesthesiology Physician, NPI 1164837746

DR. FLETCHER STUART MOORE (M.D.) is a healthcare provider. based in Augusta, Georgia. specializing in Anesthesiology Physician. They hold the professional credentials M.D.. They hold a License No. 6920 (GA). The NPI Number for DR. FLETCHER STUART MOORE (M.D.) is 1164837746

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. FLETCHER STUART MOORE (M.D.)
NPI
1164837746
Phone
(706) 721-3873
Address
1120 15TH ST
Enumeration Date
23 June 2014
Last Update Date
16 August 2018

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7067217769
Graduation Year
2014 (12 years ago)
PAC ID
5294024493
Group Practice PAC ID
1557256393
Professional Enrollment ID
I20181113001585
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for DR. FLETCHER STUART MOORE (M.D.)

  • 1120 15TH ST

    AUGUSTA, GA 309120004

    Phone: (706) 721-3873

    Fax: (706) 721-7763

    Mailing address matches the actual address.

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 $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2024-08-19 • Largest payer in this snapshot: Boston Scientific Corporation ($67).

Total Amount

$83

General + Research + Ownership

Payments

3

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-11-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181113001585IAnesthesiologyGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery1313$0
01844Anesthesia for placement or revision of blood flow shunt1313$0
View full utilization report →

Insurance plans in this area (ZIP 30912)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557256393View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. FLETCHER STUART MOORE (M.D.)?
For DR. FLETCHER STUART MOORE (M.D.), use NPI 1164837746 as the unique 10-digit identifier.
Is there an active status for DR. FLETCHER STUART MOORE (M.D.)?
For scheduling context, DR. FLETCHER STUART MOORE (M.D.) is shown as active in the registry.
What expertise is attributed to DR. FLETCHER STUART MOORE (M.D.)?
DR. FLETCHER STUART MOORE (M.D.)'s specialty line reads Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. FLETCHER STUART MOORE (M.D.) located near Augusta?
DR. FLETCHER STUART MOORE (M.D.) currently maps to Augusta, Georgia in this extract.
Does DR. FLETCHER STUART MOORE (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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