Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evan Michael Moore, MD

Individual provider Plastic Surgery Physician · NPI 1902240559

Evan Michael Moore, MD is a Plastic and Reconstructive Surgery in Lexington, Kentucky. Graduated from University of Kentucky College of Medicine in 2013, 13 years ago. Practices with Plastic Surgeons of Lexington, PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
13
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1401 Harrodsburg Rd Ste B75
Lexington, KY 40504-1724
Phone: (859) 276-3883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 52794 (KY)

Record details

NPI number1902240559
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2013
Last updated in NPPESNovember 14, 2019
Mailing address1401 Harrodsburg Rd Ste B75, Lexington, KY 40504-1724

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Plastic Surgeons Of Lexington, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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