CHARLES HENRY MOORE (MD) – Gastroenterology Physician, NPI 1629020011

CHARLES HENRY MOORE (MD) is a healthcare provider. based in Bryan, Texas. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. E-4612 (AR). The NPI Number for CHARLES HENRY MOORE (MD) is 1629020011

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES HENRY MOORE (MD)
NPI
1629020011
Phone
(979) 776-4600
Address
2206 E VILLA MARIA RD
Enumeration Date
16 May 2006
Last Update Date
22 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
9797764600
Graduation Year
2000 (26 years ago)
PAC ID
4981616554
Group Practice PAC ID
4284618711
Professional Enrollment ID
I20070208000583
Address ID
TX778022547BR2206XRDXX500

Contacts

Secure Messaging
centraltexasgi@directaddress.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

1,498 GASTROENTEROLOGY in TX

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Provider Addresses for CHARLES HENRY MOORE (MD)

  • 2206, East Villa Maria Road, Bryan, Brazos County, Texas, 77802, United States

    BRYAN, TX 778022547

    Phone: (979) 776-4600

    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 44 Open Payments records for all available years, with a total value of $989.

Total Amount is formed as General ($989) + Research ($0) + Ownership ($0) = $989.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($299).

Total Amount

$989

General + Research + Ownership

Payments

44

Total payment records

General Amount

$989

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2007-02-08

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
I20070208000583IGastroenterologyTXTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity367170$0
99214Established patient office or other outpatient visit, 30-39 minutes169155$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15599$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare145145$0
99213Established patient office or other outpatient visit, 20-29 minutes117106$0
View full utilization report →

Insurance plans in this area (ZIP 77802)

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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: 4284618711View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YTX
Physician AssistantTX
G A S T R O E N T E R O L O G YTX
G A S T R O E N T E R O L O G YTX
G A S T R O E N T E R O L O G YTX
Physician AssistantTX
Physician AssistantTX
G A S T R O E N T E R O L O G YTX

Reviews

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Frequently asked questions

Is CHARLES HENRY MOORE (MD) listed with a National Provider Identifier?
Yes — CHARLES HENRY MOORE (MD) has NPI 1629020011 on file in the registry.
Is there an active status for CHARLES HENRY MOORE (MD)?
For scheduling context, CHARLES HENRY MOORE (MD) is shown as active in the registry.
What clinical focus is listed for CHARLES HENRY MOORE (MD)?
At a glance, CHARLES HENRY MOORE (MD) is tied to Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is CHARLES HENRY MOORE (MD) associated with Bryan?
Public fields place CHARLES HENRY MOORE (MD) around Bryan, Texas. Always confirm the exact site before visiting.
Can I trust this NPI listing for CHARLES HENRY MOORE (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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