Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013304054 Individual Practitioner Male Practitioner

Dr. Kenneth Adam Moore , MD

Neurological Surgery • Indianapolis, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Moore, MD is a certified Neurological Surgery practicing in Indianapolis, IN. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Moore delivers high-quality medical care to the local community at 355 W 16TH ST STE 5100.

Dr. Moore maintains professional affiliations with Iu Health Medical Group Llc, University Family Physicians, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

355 W 16th St Ste 5100

Indianapolis, IN 462022274

Telephone 3179631300
Fax 3172222012
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Indianapolis, IN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -10.4 yrs vs City Avg
City Avg: 21.4 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
41 Specialists

Practicing in Indianapolis, IN (135 Statewide)

Telehealth Adoption Rate
22.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (11 Years) 11 Yrs
Indianapolis 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
43 35 $183.00 $118.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
35 35 $289.00 $154.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
28 21 $142.00 $72.63
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes
24 23 $122.00 $11.06
36226 Insertion of tube into brain artery for diagnosis or treatment with review by radiologist
23 23 $1399.78 $185.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes
23 15 $83.00 $43.72
36224 Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist
23 21 $8398.65 $363.72
36223 Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist
20 20 $3072.38 $207.02
36227 Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist
18 18 $732.67 $121.42
76377 3D radiographic procedure with computerized image postprocessing
17 14 $140.00 $35.06
61624 Occlusion of central nervous system or spinal cord artery
15 12 $3039.00 $862.29
75894 Radiological supervision and interpretation of obstruction of blood vessel via catheter
15 13 $179.00 $63.06
75898 Imaging of blood vessel
15 13 $214.00 $80.13
99442 Telephone medical discussion with physician, 11-20 minutes
14 13 $105.00 $83.98
61645 Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance, accessed through skin
13 13 $2153.00 $661.40
99213 Established patient office or other outpatient visit, typically 15 minutes
11 11 $127.00 $84.34

Medical Specialties & State Licenses

CMS Verified: 2023-10-02
Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License IN 01090436A

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License TN 65489

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
Q043273 (TN)
Medicaid State Provider ID
300077297 (IN)
Commercial Insurance / Payer ID Medicare Ptan
068010906 (IN)

Hospital & Practice Group Affiliations

Iu Health Medical Group Llc

1701 N Senate Blvd, Indianapolis, IN 462021239

Phone: 8884843258

University Family Physicians, Inc.

355 W 16th St, Indianapolis, IN 462022207

Phone: 3179637070

Secondary Practice Locations

6325 Humphreys Blvd

Memphis, TN 381202300

Phone: 9015227700

Practice Associates & Co-Workers

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

27 Associated Practitioners
Martina Natali , NP

Nurse Practitioner - Gerontology

NPI 1013662071

Nurse Practitioner

Abigail Hays , NP

Nurse Practitioner - Family

NPI 1043168636

Nurse Practitioner

Dr. Gordon Mao , MD

Neurological Surgery

NPI 1063854651

Doctor of Medicine (M.D.)

Misty Kirby-Nolan , NP

Nurse Practitioner - Adult Health

NPI 1114197290

Nurse Practitioner

Dr. David Purger , MD, PhD

Neurological Surgery

NPI 1144693516

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Rachael Aust , NP

Nurse Practitioner - Family

NPI 1154925634

Nurse Practitioner

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location October 02, 2023

Registered at 355 W 16TH ST STE 5100, INDIANAPOLIS, IN 462022274 (Tel: 3179631300)

📍
Updated Business Mailing Address October 02, 2023

Registered at 250 N SHADELAND AVE, INDIANAPOLIS, IN 462194959

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2023

Neurological Surgery (License #65489 in TN)

👤
Provider Name / Credentials Updated June 20, 2023

Recorded as KENNETH MOORE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2023

Neurological Surgery (License #01090436A in IN)

📍
Updated Practice Location July 08, 2022

Registered at 6325 HUMPHREYS BLVD, MEMPHIS, TN 381202300 (Tel: 9015227700)

📍
Updated Business Mailing Address July 08, 2022

Registered at 6325 HUMPHREYS BLVD, MEMPHIS, TN 381202300 (Tel: 9015227700)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2022

Neurological Surgery (License #65489 in TN)

NPI Profile Active April 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2015

Registered at 910 MADISON AVE, SUITE 1031, MEMPHIS, TN 381033403 (Tel: 9014485364)

📍
Updated Business Mailing Address April 16, 2015

Registered at 847 MONROE AVE, SUITE 427, MEMPHIS, TN 381034901 (Tel: 9014485364)

👤
Provider Name / Credentials Updated April 16, 2015

Recorded as KENNETH MOORE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 16, 2015

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: 1013304054
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2015
Last Update: October 02, 2023
Sole Proprietor: Yes

Mailing Address

250 N Shadeland Ave

Indianapolis, IN 462194959

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.