DR. JONATHAN E MOORE DPM NPI 1558339440

NPI Information

  • NPI: 1558339440
  • Provider Name: DR. JONATHAN E MOORE, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 117 TRADEPARK DR
    SOMERSET, KY
    ZIP 42503
  • Phone: (606) 679-2773

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NPI Details

DR. Jonathan E Moore, DPM is a foot and ankle surgery podiatrist in Somerset, KY with 27 years of experience. DR. Jonathan E Moore, DPM NPI is 1558339440. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1999

The provider's business location address is:

117 TRADEPARK DR
SOMERSET, KY
ZIP 42503-428
Phone: (606) 679-2773
Fax: (606) 679-4626

The NPI 1558339440 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Detection test by nucleic acid for organism, amplified probe technique (HCPCS:87798)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Detection test for candida species (yeast), amplified probe technique (HCPCS:87481)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Application of vein wound compression bandages on lower leg, ankle, and foot (HCPCS:29581)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Injection into tendon or ligament (HCPCS:20550)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Detection test by nucleic acid for multiple organisms, amplified probe(s) technique (HCPCS:87801)
  • Incision of joint capsule of foot and toe (HCPCS:28270)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique (HCPCS:87500)
  • Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique (HCPCS:87640)
  • Trimming of dystrophic nails, any number (HCPCS:G0127)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)

The enumeration date for this NPI number is 3/8/2006 and was last updated on 10/29/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery00269KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
180000243MEDICAIDKENTUCKY
2U90717MEDICARE UPINKENTUCKY
30714201MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
44538530001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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