DR. GRANT HARRIS MOORE MD NPI 1710239751

NPI Information

  • NPI: 1710239751
  • Provider Name: DR. GRANT HARRIS MOORE, MD
  • Classification: Ophthalmology - 207WX0200X
  • Specialization: Ophthalmic Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4800 N 22ND ST
    PHOENIX, AZ
    ZIP 85016
  • Phone: (602) 955-1000

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NPI Details

DR. Grant Harris Moore, MD is an ophthalmic plastic and reconstructive surgery ophthalmology in Phoenix, AZ with 14 years of experience. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. DR. Grant Harris Moore, MD NPI is 1710239751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

4800 N 22ND ST
PHOENIX, AZ
ZIP 85016-701
Phone: (602) 955-1000
Fax: (602) 508-4830

The NPI 1710239751 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), Power Mobility Devices.

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.

  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Photography of content of eyes (HCPCS:92285)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Exam of visual field with limited testing (HCPCS:92081)
  • Exam of visual field with intermediate testing (HCPCS:92082)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Injection of chemical for paralysis of nerve muscles on side of face (HCPCS:64612)
  • Removal of growth of eyelid (HCPCS:67840)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Extensive repair of turning-inward eyelid defect (HCPCS:67924)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Removal of eyelashes using forceps (HCPCS:67820)
  • Insertion of probe into nasal tear duct (HCPCS:68810)
  • Dilation of tear drainage opening (HCPCS:68801)
  • Removal of over 1/4 of eyelid margin and repair of eyelid (HCPCS:67966)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • Probing of nasal tear duct with insertion of tube or stent (HCPCS:68815)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Partial removal of nasal sinus (HCPCS:31200)
  • Removal of growth of eyelid lining, 1.0 cm or less (HCPCS:68110)
  • Creation of drainage tract from tear sac to nasal cavity (HCPCS:68720)
  • Probing of nasal tear duct with insertion of tube or stent (HCPCS:68815)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 10/14/2012 and was last updated on 5/1/2019.

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
1207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive Surgery55263ARIZONAYes
2207W00000XOphthalmology55263ARIZONANo

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
1349369MEDICAIDARIZONA

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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