Michael David Moore, MD - Medicare Ophthalmology in Syracuse, NY

Michael David Moore, MD is a medicare enrolled "Ophthalmology" physician in Syracuse, New York. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Eye Consultants Of Syracuse, Pc and his current practice location is 5792 Widewaters Pkwy Ste 101, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 422-4412.

Michael David Moore is licensed to practice in New York (license number 207748) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366521759.

Contact Information

Michael David Moore, MD
5792 Widewaters Pkwy Ste 101,
Syracuse, NY 13214-1847
(315) 422-4412
Not Available

Map and Direction




Physician's Profile

Full NameMichael David Moore
GenderMale
SpecialityOphthalmology
Experience34 Years
Location5792 Widewaters Pkwy Ste 101, Syracuse, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael David Moore graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1366521759
  • Provider Enumeration Date: 11/04/2006
  • Last Update Date: 04/27/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3577637305
  • Enrollment ID: I20180420001146

Medical Identifiers

Medical identifiers for Michael David Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366521759NPI-NPPES
7429234OtherCAAETNA
90121857OtherCAPACIFICARE
1392936OtherCAGREAT WEST
1767577OtherCAUNITED HEALTHCARE
2258848OtherCAFIRST HEALTH
937998OtherCAFIRST HEALTH
000001620745OtherCAPHCS
49516OtherCAINTERPLAN
089071OtherCAHEALTH NET
2700475OtherCACIGNA
00G854280MedicaidCA
01852235MedicaidNY
G85428OtherCABLUE CROSS
MCMG170200OtherCAWESTERN HEALTH ADVANTAGE
00G854280OtherCABLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology G85428 (California)Secondary
207W00000XOphthalmology 207748 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eye Consultants Of Syracuse, Pc54967870387

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. Michael David Moore allows following entities to bill medicare on his behalf.
Entity NameOphthalmology Medical Service Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225072051
PECOS PAC ID: 0446248033
Enrollment ID: O20040503001408
Entity NameEye Consultants Of Syracuse, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568578920
PECOS PAC ID: 5496787038
Enrollment ID: O20050906000151

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. Michael David 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 AddressPractice Location Address
Michael David Moore, MD
5792 Widewaters Pkwy Ste 101,
Syracuse, NY 13214-1847

Ph: (315) 422-4412
Michael David Moore, MD
5792 Widewaters Pkwy Ste 101,
Syracuse, NY 13214-1847

Ph: (315) 422-4412

Reviews and Comments


Ophthalmology Doctors in Syracuse, NY

Dr. George Salloum, MD
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Stephen W Merriam, MD
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Practice Location: 5792 Widewaters Pkwy, Syracuse, NY 13214
Phone: 315-422-4412    Fax: 315-422-4432
Charles Teitelbaum, MD
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Dr. Adam Miller, MD
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Practice Location: 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214
Phone: 315-422-4412    
Evis Petrela, MD
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Practice Location: 4900 Broad Rd, Suite 3p, Syracuse, NY 13215
Phone: 315-492-5910    Fax: 315-492-5950

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.