DR. NATHAN L MOORE (MD) – Family Medicine Physician, NPI 1093829822

DR. NATHAN L MOORE (MD) is a healthcare provider. based in Paris, Kentucky. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 20167 (KY). The NPI Number for DR. NATHAN L MOORE (MD) is 1093829822

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. NATHAN L MOORE (MD)
NPI
1093829822
Phone
(859) 987-0074
Address
22 CLINIC DRIVE
Enumeration Date
18 August 2006
Last Update Date
27 April 2011

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8599875013
Graduation Year
1978 (48 years ago)
PAC ID
0749381275
Group Practice PAC ID
8729226097
Professional Enrollment ID
I20070727000043
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. NATHAN L MOORE (MD)

  • 22, Clinic Drive, Paris, Bourbon County, Kentucky, 40361, United States

    PARIS, KY 40361

    Phone: (859) 987-0074

    Fax: (859) 987-0098

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-07-27

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
I20070727000043IFamily PracticeKYTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes418111$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes21972$0
11043Removal of muscle and/or tissue, 20.0 sq cm or less15447$0
11042Removal of skin and tissue, 20.0 sq cm or less7436$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes6749$0
View full utilization report →

Insurance plans in this area (ZIP 40361)

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Provider's Procedures

DR. NATHAN L MOORE (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEKY17003Destruction of 2-14 skin growths3428

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: 8729226097View full group profile
NameSpecialtyState
Nurse PractitionerKY
Emergency Medicine, Family PracticeKY
Nurse PractitionerKY
-OH
Nurse PractitionerKY
Physician AssistantKY
-TN

Reviews

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Frequently asked questions

Where can patients find DR. NATHAN L MOORE (MD)'s NPI?
You can confirm DR. NATHAN L MOORE (MD) with NPI 1093829822; it appears in the national provider directory.
Does this profile mean DR. NATHAN L MOORE (MD) is currently active?
Yes — DR. NATHAN L MOORE (MD) appears active in the national provider directory.
What kind of provider is DR. NATHAN L MOORE (MD)?
The page reflects Family Medicine Physician for DR. NATHAN L MOORE (MD). Clinical services aligned with this taxonomy classification.
Does DR. NATHAN L MOORE (MD) practice in Kentucky?
You will see Paris, Kentucky on file for DR. NATHAN L MOORE (MD) alongside any extra practice locations.
Is DR. NATHAN L MOORE (MD) a real provider?
This page reflects official NPPES data for NPI 1093829822. Always confirm identity and privileges with the practice and licensing boards.

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