CARL MOORE (MD) – Interventional Cardiology Physician, NPI 1083698468

CARL MOORE (MD) is a healthcare provider. based in Lynchburg, Virginia. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY. They hold the professional credentials MD. They hold a License No. 0101039425 (VA). The NPI Number for CARL MOORE (MD) is 1083698468

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
CARL MOORE (MD)
NPI
1083698468
Phone
(434) 200-5252
Address
2410 ATHERHOLT RD
Enumeration Date
30 November 2005
Last Update Date
1 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4349475297
Graduation Year
1980 (46 years ago)
PAC ID
4284635913
Group Practice PAC ID
4789606088
Professional Enrollment ID
I20070124000287
Address ID
VA245011602LY2542XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

922 CARDIOVASCULAR DISEASE (CARDIOLOGY) in VA

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Provider Addresses for CARL MOORE (MD)

  • Stroobants Cardiovascular Center, 2410, Atherholt Road, West Lynchburg, Lynchburg, Lynchburg (city), Virginia, 24501, United States

    LYNCHBURG, VA 245012148

    Phone: (434) 200-5252

    Fax: (434) 200-2862

    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: 2007-01-24

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
I20070124000287ICardiovascular Disease (Cardiology)VATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes425292$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only261208$0
99215Established patient office or other outpatient visit, 40-54 minutes13189$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or3631$0
93248Heart rhythm review and interpretation of continous external ekg over 8-15 days2727$0
View full utilization report →

Insurance plans in this area (ZIP 24501)

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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: 4789606088View full group profile
NameSpecialtyState
-VA
N E U R O L O G YMD
Internal MedicineVA
-VA
N E U R O S U R G E R YVA
Hospitalist, Family PracticeVA
Diagnostic RadiologyOH
Cardiac ElectrophysiologyVA
-SC
-VA

Reviews

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Frequently asked questions

Does CARL MOORE (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CARL MOORE (MD) uses 1083698468.
Can I rely on CARL MOORE (MD) being an active provider?
As of the registry snapshot, CARL MOORE (MD) is marked active.
What taxonomy line describes CARL MOORE (MD)?
For research purposes, treat CARL MOORE (MD) as Interventional Cardiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does CARL MOORE (MD) serve?
CARL MOORE (MD)'s listing highlights Lynchburg, Virginia; more addresses can appear in NPPES.
Why does CARL MOORE (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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