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Deactivated NPI 1619995875 Deactivated / Inactive NPI Male Practitioner

Dr. David Brian Moore , MD

Internal Medicine • Amory, MS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 17, 2006
NPI Deactivation Date May 08, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. David Moore, MD was a registered Internal Medicine practicing in Amory, MS. Throughout an active medical career spanning 14 years, Dr. Moore provided care at the practice location at 1105 EARL FRYE BLVD until profile deactivation on 2020-05-08.

Historical Medicare Part B clinical services included emergency department visit with low level of medical decision making, emergency department visit with moderate level of medical decision making, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1105 Earl Frye Blvd

Amory, MS 388215500

Telephone 6622567111
Fax 6622576775
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Amory, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.3 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Amory, MS (1017 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99283 Emergency department visit with low level of medical decision making
74 70 $534.00 $57.98
99284 Emergency department visit with moderate level of medical decision making
54 53 $688.00 $110.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
32 29 $770.00 $68.11
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
23 23 $55.00 $8.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
18 17 $1414.00 $127.57
99219 Hospital observation care, typically 50 minutes
13 12 $1040.00 $127.26

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MS 18790

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.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Gail Miller , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023037629

Certified Registered Nurse Anesthetist

NPI 1134221419

Doctor of Osteopathic Medicine (D.O.)

Ricky Gault , CRNA

Nurse Anesthetist, Certified Registered

NPI 1164441788

Certified Registered Nurse Anesthetist

NPI 1285653899

Doctor of Medicine (M.D.)

Frederick Flowers , NP

Nurse Practitioner

NPI 1376948240

Nurse Practitioner

Dr. Danny Moore , MD

Internal Medicine

NPI 1417976028

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 08, 2020

Record deactivated on May 08, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1105 EARL FRYE BLVD, AMORY, MS 388215500 (Tel: 6622567111)

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Updated Business Mailing Address July 08, 2007

Registered at 1105 EARL FRYE BLVD, AMORY, MS 388215500 (Tel: 6622567111)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID MOORE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #18790 in MS)

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Initial NPI Registration & Enumeration July 17, 2006

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: 1619995875
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: July 08, 2007
Deactivation Date: May 08, 2020

Mailing Address

1105 Earl Frye Blvd

Amory, MS 388215500

Phone: 6622567111

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.