Deactivated NPI 1285611962 Deactivated / Inactive NPI Male Practitioner

Dr. I. Harrison Moore , MD

Specialist • Austin, TX

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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. I. Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 23, 2005

NPI Deactivation Date August 26, 2022

Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. I. Moore, MD was a registered Specialist practicing in Austin, TX. Throughout an active medical career spanning 17 years, Dr. Moore provided care at the practice location at 7800 SHOAL CREEK BLVD until profile deactivation on 2022-08-26.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, residence visit for established patient with moderate level of medical decision making, per day, 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

7800 Shoal Creek Blvd
Suite 120w

Austin, TX 787571043

Telephone 5124078880

Fax 5124078681

Associated Practice Facility / Clinic

🏢 Nurses To Go, Inc. Facility NPI 1538144738

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Austin, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 36.1 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

86 Specialists

Practicing in Austin, TX (2033 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

19.5% 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 (2019)

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	189	82	$120.85	$107.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	77	62	$163.79	$143.76
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$278.42	$202.11

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	152	50	$113.76	$100.59
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	73	70	$193.00	$129.01
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	55	55	$65.00	$41.72
99336 Established patient assisted living visit, typically 40 minutes	45	43	$203.00	$134.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	33	$151.84	$134.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$216.51	$193.03
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	13	13	$62.00	$42.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$175.00	$116.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	617	124	$193.00	$126.91
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	533	137	$65.00	$41.52
99336 Established patient assisted living visit, typically 40 minutes	365	88	$203.00	$132.43
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	297	138	$62.00	$41.54
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	232	98	$267.00	$175.94
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	138	124	$81.00	$53.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	112	112	$175.00	$112.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	39	$114.61	$99.95
99337 Established patient assisted living visit, typically 60 minutes	67	35	$291.00	$189.84
G0008 Administration of influenza virus vaccine	60	59	$35.00	$25.11
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	57	56	$29.00	$23.57
93000 Routine ekg using at least 12 leads including interpretation and report	55	54	$27.80	$16.74
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	38	17	$5.00	$2.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	17	$38.00	$25.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$216.43	$191.37
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	21	21	$332.00	$218.84
99335 Established patient assisted living visit, typically 25 minutes	17	12	$143.00	$92.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$152.06	$134.67

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AL 9379

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Cynthia Gneco Wilamo , MD

Internal Medicine - Geriatric Medicine

NPI 1053699884

Doctor of Medicine (M.D.)

Dr. Koshy Varghese , MD

Internal Medicine - Geriatric Medicine

NPI 1154311496

Doctor of Medicine (M.D.)

Dr. Vinay Kamble , DO

Family Medicine

NPI 1275595167

Doctor of Osteopathic Medicine (D.O.)

Dr. Leticia Tiscareno-Grajeda , MD

Internal Medicine

NPI 1326202169

Doctor of Medicine (M.D.)

Marie Sedlak Lupone , CRNP

Nurse Practitioner - Family

NPI 1558456152

Certified Registered Nurse Practitioner

Tracy Pollard-Johnson

Nurse Practitioner - Family

NPI 1558709394

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated August 26, 2022

Record deactivated on August 26, 2022

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NPI Profile Active July 27, 2012

NPI status registered as active in NPPES database

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Updated Practice Location July 27, 2012

Registered at 7800 SHOAL CREEK BLVD, SUITE 120W, AUSTIN, TX 787571043 (Tel: 5124078880)

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Updated Business Mailing Address July 27, 2012

Registered at 7800 SHOAL CREEK BLVD, SUITE 120W, AUSTIN, TX 787571043 (Tel: 5124078880)

👤

Provider Name / Credentials Updated July 27, 2012

Recorded as I. MOORE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2012

Specialist (License #9379 in AL)

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Initial NPI Registration & Enumeration December 23, 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: 1285611962

Entity Type:

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

Enumeration Date: December 23, 2005

Last Update: July 27, 2012

Deactivation Date: August 26, 2022

Update or Correct Profile

Mailing Address

7800 Shoal Creek Blvd, Suite 120w

Austin, TX 787571043

Phone: 5124078880

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.