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Dr. Shawn E Moore , MD

Surgery β€’ Columbus, OH

Active NPI 1396205605 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

Grant Medical Center Surgical Critical Care, 393 E. Town St. #116
Columbus, OH 43215

Call 6145669108 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

Grant Medical Center Surgical Critical Care
393 E. Town St. #116

Columbus, OH 43215

Telephone 6145669108
Fax 6145669110
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Orlando, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Lutheran Hospital Association Of The San Luis Valley. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Missouri, Columbia School Of Medicine

Graduation Year

2019

Industry payments (Open Payments)

Fewer than 11 payment records totaling $21.79 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Moore has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Moore as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Columbus and Ohio

119 active clinicians are listed under Surgery with a practice address in Columbus, OH (1,249 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Columbus

9.2% of these 119 clinicians have the CMS telehealth indicator.

50.4% of these 119 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $21.79.

Manufacturer Payment Nature Product Type Amount ($)
Medical Device Business Services, Inc.
Food and Beverage
In-kind items and services
SURGICEL NU-KNIT General $21.79

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-08
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES CO DR.0075847

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20260528000428

Enrollment State Jurisdiction

TN

PECOS Control ID

6507367034

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Lutheran Hospital Association Of The San Luis Valley

106 Blanca Ave, Alamosa, CO 811012340

Phone: 7195892511

Secondary Practice Locations

601 E Rollins St

Orlando, FL 328031248

Phone: 4073036611

Grant Medical Center Surgical Critical Care, 393 E. Town St. #116

Columbus, OH 43215

Phone: 6145669108

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

21 listed
NPI 1356729545

Doctor of Podiatric Medicine

Dr. Krisanna Deppen , MD

Preventive Medicine - Addiction Medicine

NPI 1003007741

Doctor of Medicine (M.D.)

NPI 1316365430

Doctor of Medicine (M.D.)

Dr. Laura Esry , DO

Student in an Organized Health Care Education/Training Program

NPI 1588292460

Doctor of Osteopathic Medicine (D.O.)

Keya Flora , CNP

Nurse Practitioner - Family

NPI 1922626753

Certified Nurse Practitioner

Dr. Cameron Gachett , DO

Internal Medicine - Addiction Medicine

NPI 1093343899

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2025

Surgery (license number reported to NPPES: CO DR.0075847)

πŸ“
Updated Practice Location May 14, 2024

Registered at GRANT MEDICAL CENTER SURGICAL CRITICAL CARE, 393 E. TOWN ST. #116, COLUMBUS, OH 43215 (Tel: 6145669108)

πŸ“
Updated Business Mailing Address May 14, 2024

Registered at 393 E. TOWN ST., #116, COLUMBUS, OH 43215 (Tel: 6145669108)

βœ…
NPI Profile Active March 22, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 22, 2019

Registered at 601 E ROLLINS ST, ORLANDO, FL 328031248 (Tel: 4073036611)

πŸ“
Business Mailing Address (Initial Record) March 22, 2019

Registered at 4015 S CRYSLER AVE APT 1, INDEPENDENCE, MO 640554473 (Tel: 6362338826)

πŸ‘€
Provider Name / Credentials (Initial Record) March 22, 2019

Recorded as SHAWN MOORE, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2019

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 22, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396205605
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2019
Last Update: September 08, 2025
Sole Proprietor: No

Other Surgery Specialists in Columbus

All Surgery Specialists in Columbus

Mailing Address

393 E. Town St., #116

Columbus, OH 43215

Phone: 6145669108

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.