Active NPI 1003816372 Individual Practitioner Male Practitioner

Dr. Charles A Moore , MD

Internal Medicine • Middlesboro, KY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Charles Moore, MD is a certified Internal Medicine practicing in Middlesboro, KY. With approximately 41 years of clinical experience since graduating from University Of Louisville School Of Medicine in 1985, Dr. Moore delivers high-quality medical care to the local community at 123 N 19TH ST.

Dr. Moore is affiliated with Appalachian Regional Healthcare Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

123 N 19th St
Suite 201

Middlesboro, KY 409652865

Telephone 6062480090

Fax 6062488803

Associated Practice Facility / Clinic

🏢 Comprehensive Home Healthcare Services Llc Facility NPI 1942250592

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Middlesboro, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +11.3 yrs vs City Avg

City Avg: 29.7 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

9 Specialists

Practicing in Middlesboro, KY (1608 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

29.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (41 Years) 41 Yrs

Middlesboro Specialty Average (29.7 Years) 29.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	704	190	$111.99	$80.21
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	477	80	$92.42	$65.48
99443 Telephone medical discussion with physician, 21-30 minutes	232	94	$75.00	$71.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	25	$170.16	$109.86
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	33	26	$132.28	$95.35
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	33	14	$103.70	$68.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	15	$77.57	$48.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	836	172	$110.00	$83.79
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	606	72	$90.00	$69.55
99443 Telephone medical discussion with physician, 21-30 minutes	266	95	$74.53	$73.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	89	27	$103.73	$75.31
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	50	41	$130.00	$99.88
99238 Hospital discharge day management, 30 minutes or less	18	17	$121.00	$76.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	13	$222.00	$124.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,036	229	$85.57	$77.39
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	610	104	$90.06	$64.35
99443 Telephone medical discussion with physician, 21-30 minutes	225	99	$50.09	$49.63
99335 Established patient assisted living visit, typically 25 minutes	216	27	$90.00	$88.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	168	47	$97.02	$67.21
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	46	43	$130.00	$85.07
99238 Hospital discharge day management, 30 minutes or less	41	39	$109.66	$65.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$229.44	$181.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	18	$233.00	$128.28
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	20	20	$90.00	$63.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	13	$95.00	$36.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,236	277	$75.00	$74.67
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	504	84	$90.00	$65.19
99443 Telephone medical discussion with physician, 21-30 minutes	281	108	$50.00	$50.00
99335 Established patient assisted living visit, typically 25 minutes	185	34	$90.00	$89.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	123	30	$86.08	$68.67
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	61	58	$130.00	$86.05
99238 Hospital discharge day management, 30 minutes or less	36	34	$102.06	$68.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	20	$200.00	$187.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,456	281	$75.00	$64.48
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	368	74	$90.00	$63.90
99335 Established patient assisted living visit, typically 25 minutes	292	35	$90.00	$86.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	284	33	$80.00	$67.31
99443 Telephone medical discussion with physician, 21-30 minutes	224	99	$50.00	$48.06
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	53	50	$130.00	$84.21
99238 Hospital discharge day management, 30 minutes or less	47	36	$90.00	$67.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	27	$200.00	$183.51
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	26	$50.00	$8.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,935	347	$75.00	$67.60
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	375	56	$90.00	$63.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	257	49	$80.00	$66.72
99335 Established patient assisted living visit, typically 25 minutes	250	38	$90.00	$86.06
99238 Hospital discharge day management, 30 minutes or less	73	54	$90.00	$67.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	67	45	$198.36	$184.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	65	14	$100.00	$85.52
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	27	25	$130.00	$83.97
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	20	18	$70.00	$37.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$150.00	$143.79
99291 Critical care, first 30-74 minutes	13	12	$220.00	$207.45
99336 Established patient assisted living visit, typically 40 minutes	12	12	$130.00	$123.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,999	349	$75.00	$64.64
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	479	59	$90.00	$62.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	243	48	$80.00	$65.19
99335 Established patient assisted living visit, typically 25 minutes	212	32	$90.00	$85.67
99238 Hospital discharge day management, 30 minutes or less	81	65	$90.00	$65.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	72	53	$200.00	$183.65
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	51	44	$130.00	$80.91
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	45	35	$70.00	$36.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	15	$100.00	$94.46
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	24	24	$90.00	$63.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	14	$145.00	$141.69
99291 Critical care, first 30-74 minutes	14	13	$220.00	$202.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$110.00	$95.43
99336 Established patient assisted living visit, typically 40 minutes	13	13	$130.00	$122.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,124	473	$75.00	$63.86
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	349	57	$90.11	$61.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	188	48	$80.00	$64.53
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	156	61	$70.00	$35.78
99335 Established patient assisted living visit, typically 25 minutes	125	18	$90.00	$84.41
99238 Hospital discharge day management, 30 minutes or less	79	60	$90.00	$64.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	66	52	$200.00	$180.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	17	$100.00	$93.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	36	36	$90.00	$62.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	31	$85.00	$46.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$150.00	$145.36
99306 Initial nursing facility visit, typically 45 minutes per day	21	21	$150.00	$145.25
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	16	16	$130.00	$80.74
99291 Critical care, first 30-74 minutes	16	16	$220.00	$200.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$110.00	$94.65

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License KY 22757

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64227572 (KY)

Medicaid State Provider ID

1003816372 (KY)

Commercial Insurance / Payer ID Department Of Labor

1635649000 (KY)

Commercial Insurance / Payer ID Blue Cross Of Tennessee

000051203 (TN)

Commercial Insurance / Payer ID Blue Cross Of Ky

000000062741 (KY)

Commercial Insurance / Payer ID Rail Road Medicare

110196198 (KY)

Commercial Insurance / Payer ID Cha

1143 (KY)

Commercial Insurance / Payer ID Tennesse Medicaid

4176527 (TN)

Commercial Insurance / Payer ID Umwa

1326780 (KY)

Commercial Insurance / Payer ID Medicare Group Npi

1659551935 (KY)

Hospital & Practice Group Affiliations

Appalachian Regional Healthcare Inc

2004 Cumberland Ave, Middlesboro, KY 409651385

Phone: 6062483015

Practice Associates & Co-Workers

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

2 Associated Practitioners

Lynda Browning , ANP

Nurse Practitioner - Adult Health

NPI 1083996532

Adult Nurse Practitioner

Marcinia Bailey , APRN

Nurse Practitioner - Family

NPI 1548673155

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 27, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location April 27, 2010

Registered at 123 N 19TH ST, SUITE 201, MIDDLESBORO, KY 409652865 (Tel: 6062480090)

📍

Updated Business Mailing Address April 27, 2010

Registered at PO BOX 309, MIDDLESBORO, KY 409650309 (Tel: 6062480090)

👤

Provider Name / Credentials Updated April 27, 2010

Recorded as CHARLES MOORE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2010

Internal Medicine (License #22757 in KY)

🟢

Initial NPI Registration & Enumeration July 28, 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: 1003816372

Entity Type:

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

Enumeration Date: July 28, 2005

Last Update: April 27, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 309

Middlesboro, KY 409650309

Phone: 6062480090

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.