Nicholas Je Moore, MD - Medicare Diagnostic Radiology in Colorado Springs, CO

Nicholas Je Moore, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Colorado Springs, Colorado. He went to University Of Alabama School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Penrad Imaging Llc, Colorado Springs Radiologists Pc, Radiology Associates Of Wausau, Sc and his current practice location is 1390 Kelly Johnson Blvd, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 593-1799.

Nicholas Je Moore is licensed to practice in Colorado (license number 48664) 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 1417905092.

Contact Information

Nicholas Je Moore, MD
1390 Kelly Johnson Blvd,
Colorado Springs, CO 80920-3908
(719) 593-1799
Not Available

Map and Direction




Physician's Profile

Full NameNicholas Je Moore
GenderMale
SpecialityDiagnostic Radiology
Experience24 Years
Location1390 Kelly Johnson Blvd, Colorado Springs, Colorado
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:
  • Nicholas Je Moore attended and graduated from University Of Alabama School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1417905092
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597701573
  • Enrollment ID: I20100629000311

Medical Identifiers

Medical identifiers for Nicholas Je Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417905092NPI-NPPES
88639266OtherCOMEDICAID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 48664 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aspirus Wausau HospitalWausau, WIHospital
Centura Health-penrose St Francis Health ServicesColorado springs, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Penrad Imaging Llc185038759829
Colorado Springs Radiologists Pc690189009428
Radiology Associates Of Wausau, Sc761886958717

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. Nicholas Je Moore allows following entities to bill medicare on his behalf.
Entity NameColorado Springs Radiologists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629168406
PECOS PAC ID: 6901890094
Enrollment ID: O20040412001373
Entity NamePenrad Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003906868
PECOS PAC ID: 1850387598
Enrollment ID: O20040420001609
Entity NameRadiology Associates Of Wausau, Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588679450
PECOS PAC ID: 7618869587
Enrollment ID: O20210615000804

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. Nicholas Je 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
Nicholas Je Moore, MD
1390 Kelly Johnson Blvd,
Colorado Springs, CO 80920-3908

Ph: (719) 593-1799
Nicholas Je Moore, MD
1390 Kelly Johnson Blvd,
Colorado Springs, CO 80920-3908

Ph: (719) 593-1799

Reviews and Comments


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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).

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