Dr Gary N Moore, DDS in Colorado Springs, CO

Dr Gary N Moore, DDS is a medicare enrolled "Dentist - General Practice" provider in Colorado Springs, Colorado. His current practice location is 3695 Star Ranch Rd, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 597-7979.

Dr Gary N Moore is licensed to practice in Colorado (license number 8585) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376522979.

Contact Information

	Dr Gary N Moore, DDS
	3695 Star Ranch Rd, Colorado Springs, CO 80906-5980
	(719) 597-7979
	(719) 597-8084

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gary N Moore
Gender	Male
Speciality	Dentist - General Practice
Location	3695 Star Ranch Rd, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376522979
Provider Enumeration Date: 01/11/2006
Last Update Date: 06/23/2025

Medicare PECOS Information:

PECOS PAC ID: 2466771175
Enrollment ID: I20200413001807

Medical Identifiers

Medical identifiers for Dr Gary N Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376522979	NPI	-	NPPES
13954318	Medicaid	CO
1013331560	Medicaid	CO
1881255107	Other	CO	RM PACE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223E0200X	Dentist - Endodontics	8930 (Colorado)	Secondary
1223G0001X	Dentist - General Practice	3216 (Nevada)	Secondary
1223G0001X	Dentist - General Practice	8585 (Colorado)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Gary N Moore allows following entities to bill medicare on his behalf.

Entity Name	Star Dental Institute Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881255107 PECOS PAC ID: 1153751243 Enrollment ID: O20200413001607

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gary N Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Gary N Moore, DDS 3695 Star Ranch Rd, Colorado Springs, CO 80906-5980 Ph: (719) 597-7979	Dr Gary N Moore, DDS 3695 Star Ranch Rd, Colorado Springs, CO 80906-5980 Ph: (719) 597-7979

Reviews and Comments

Dentist in Colorado Springs, CO

Dr. Alan David Walker, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2110 Southgate Rd, Colorado Springs, CO 80906 Phone: 719-635-5705
Dr. Paul J. Lombardi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2828 International Cir, Suite 100, Colorado Springs, CO 80910 Phone: 719-632-5700
Dr. Yasufumi Yamazaki, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2436 S Academy Blvd, Colorado Springs, CO 80916 Phone: 719-331-2336 Fax: 719-391-1625
Tetyana Korchynskyy, DMD, MSD Dentist Medicare: Medicare Enrolled Practice Location: 1694 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906 Phone: 719-538-4671
Dwayne Preston Hall, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5944 Stetson Hills Blvd, Ste 100, Colorado Springs, CO 80922 Phone: 719-638-2260 Fax: 719-638-2261
Dr. Abraham Kanjappallil Thomas, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5426 N Academy Blvd, Ste 202, Colorado Springs, CO 80918 Phone: 719-266-5420 Fax: 719-266-6988
Dr. Derek Allan Miller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6160 Tutt Blvd, Suite 140, Colorado Springs, CO 80923 Phone: 719-550-1010 Fax: 719-550-1212

Dr Gary N Moore, DDS - Medicare Dentist in Colorado Springs, CO