Active NPI 1154302784 Individual Practitioner Male Practitioner

Dr. Keith S Moore , MD

Surgery • Atlanta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Keith Moore, MD is a certified Surgery practicing in Atlanta, GA. With approximately 35 years of clinical experience since graduating from University Of Missouri, Kansas City, School Of Medicine in 1991, Dr. Moore delivers high-quality medical care to the local community at 1100 JOHNSON FY RD NE.

Dr. Moore is affiliated with Center For Vein Restoration Ga Corp and accepts Medicare assignment.

Frequently performed procedures and clinical services include ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers, ultrasound study of arm or leg veins with compression and maneuvers, destruction of insufficient vein of arm or leg, accessed through the skin. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 Johnson Fy Rd Ne
Suite 165

Atlanta, GA 303421709

Telephone 4044462800

Fax 4044462809

Associated Practice Facility / Clinic

🏢 Vein Atlanta, Llc Facility NPI 1316226582

Medicare Profile & Education

Medical School

University Of Missouri, Kansas City, School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Atlanta, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +13.6 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

212 Specialists

Practicing in Atlanta, GA (1046 Statewide)

Telehealth Adoption Rate

14.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (35 Years) 35 Yrs

Atlanta Specialty Average (21.4 Years) 21.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	88	30	$360.00	$115.76
93970 Ultrasound study of arm or leg veins with compression and maneuvers	61	44	$560.00	$181.14
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	47	23	$5130.00	$1027.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	28	$290.00	$116.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$450.00	$156.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	70	25	$360.00	$119.80
93970 Ultrasound study of arm or leg veins with compression and maneuvers	53	44	$560.00	$188.99
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	37	18	$5130.00	$1086.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$450.00	$158.72
36466 Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance	18	13	$3500.00	$1418.55
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$190.00	$89.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$120.00	$56.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	75	66	$560.00	$193.87
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	71	41	$360.00	$122.98
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	50	22	$5130.00	$1139.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$450.00	$163.23
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$190.00	$91.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$290.00	$127.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$120.00	$56.69
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$570.00	$222.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	44	41	$557.14	$200.71
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	36	18	$360.00	$126.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$450.00	$169.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$290.00	$131.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$283.00	$113.76
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$190.00	$92.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	87	52	$84.00	$46.10
93970 Ultrasound study of arm or leg veins with compression and maneuvers	67	58	$518.00	$198.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$206.00	$108.37
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	51	21	$3710.00	$1376.61
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	24	18	$340.00	$112.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	153	109	$518.00	$195.86
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	119	40	$3710.00	$1447.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	115	56	$84.00	$45.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$206.00	$109.10
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	35	24	$340.00	$121.85
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	14	$40.00	$22.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	149	83	$518.00	$196.23
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	91	29	$3710.00	$1491.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$206.00	$107.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	39	$84.00	$43.97
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	42	26	$340.00	$115.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	29	26	$40.00	$21.61
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	12	$400.00	$55.94
36471 Injection of chemical agent into multiple incompetent veins of leg	14	12	$429.86	$202.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	43	40	$518.00	$185.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$84.00	$42.79
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	21	18	$340.00	$112.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$206.00	$106.13

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX M8850

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

195354901 (TX)

Commercial Insurance / Payer ID Bc/bs Tx#

8G6219 (TX)

Commercial Insurance / Payer ID Railroad Medicare

P00614620 (TX)

Hospital & Practice Group Affiliations

Center For Vein Restoration Ga Corp

1100 Johnson Fy Rd Ne, Atlanta, GA 303421795

Phone: 8558308346

Center For Vein Restoration Ga Corp

833 Campbell Hill St Nw, Marietta, GA 300601135

Phone: 8558308346

Center For Vein Restoration Ga Corp

601 Professional Dr, Lawrenceville, GA 300467649

Phone: 8558308346

Center For Vein Restoration Ga Corp

3886 Princeton Lakes Way Sw, Atlanta, GA 303315511

Phone: 8558308346

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Keith Levine , MD

Surgery - Vascular Surgery

NPI 1316962517

Doctor of Medicine (M.D.)

Dr. James Fonger , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1497736797

Doctor of Medicine (M.D.)

Dr. Sagar Patel , MD

Family Medicine

NPI 1538652862

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 30, 2016

Registered at 1100 JOHNSON FY RD NE, SUITE 165, ATLANTA, GA 303421709 (Tel: 4044462800)

📍

Updated Business Mailing Address November 30, 2016

Registered at 1100 JOHNSON FY RD NE, SUITE 165, ATLANTA, GA 303421709 (Tel: 4044462800)

👤

Provider Name / Credentials Updated November 30, 2016

Recorded as KEITH MOORE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2016

Surgery (License #M8850 in TX)

🟢

Initial NPI Registration & Enumeration November 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154302784

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 10, 2005

Last Update: November 30, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1100 Johnson Fy Rd Ne, Suite 165

Atlanta, GA 303421709

Phone: 4044462800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.