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Active NPI 1295793099 Individual Practitioner Male Practitioner

Roger L. Moore , PA

Physician Assistant • Tulsa, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Roger Moore, PA is a certified Physician Assistant practicing in Tulsa, OK. With approximately 22 years of clinical experience since completing medical education in 2004, Roger Moore delivers high-quality medical care to the local community at 2929 S GARNETT RD.

Roger Moore is affiliated with St John Urgent Care Clinics Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2929 S Garnett Rd
C/o Medcenter

Tulsa, OK 741295101

Telephone 9186651520
Fax 4057494561
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tulsa, OK

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +12.1 yrs vs City Avg
City Avg: 9.9 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
400 Specialists

Practicing in Tulsa, OK (1911 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (22 Years) 22 Yrs
Tulsa Specialty Average (9.9 Years) 9.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
133 131 $566.63 $99.39
99285 Emergency department visit for life threatening or functioning severity
81 81 $1272.58 $146.16
99213 Established patient office or other outpatient visit, typically 15 minutes
72 70 $151.00 $73.09
99283 Emergency department visit with low level of medical decision making
34 34 $236.11 $57.61
87804 Detection test by immunoassay with direct visual observation for influenza virus
24 12 $38.00 $16.22
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
11 11 $46.00 $34.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $223.00 $89.31
81003 Automated urinalysis test
11 11 $7.00 $2.20

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 1378

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200050070A (OK)

Hospital & Practice Group Affiliations

St John Urgent Care Clinics Inc

1910 S Falcon Ave, Claremore, OK 740192237

Phone: 9183436855

St John Urgent Care Clinics Inc

1717 S Utica Ave, Tulsa, OK 741045346

Phone: 9187481300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ernest Estrada , PA

Physician Assistant

NPI 1003856386

Physician Assistant

Dr. James Greene , MD

Emergency Medicine

NPI 1003878422

Doctor of Medicine (M.D.)

Dr. Stanley Reyenga , MD

Emergency Medicine

NPI 1043271679

Doctor of Medicine (M.D.)

Kyle Johnson , PA

Physician Assistant - Medical

NPI 1043278005

Physician Assistant

Dr. William Lei , MD

Emergency Medicine - Emergency Medical Services

NPI 1063472603

Doctor of Medicine (M.D.)

Dr. Joanna Chen , MD

Emergency Medicine - Emergency Medical Services

NPI 1073576807

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 01, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2008

Registered at 2929 S GARNETT RD, C/O MEDCENTER, TULSA, OK 741295101 (Tel: 9186651520)

📍
Updated Business Mailing Address May 01, 2008

Registered at PO BOX 22063, DEPT 0289, TULSA, OK 741212063 (Tel: 4057514664)

👤
Provider Name / Credentials Updated May 01, 2008

Recorded as ROGER MOORE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2008

Physician Assistant (License #1378 in OK)

🟢
Initial NPI Registration & Enumeration May 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295793099
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2006
Last Update: May 01, 2008
Sole Proprietor: No

Mailing Address

Po Box 22063, Dept 0289

Tulsa, OK 741212063

Phone: 4057514664

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.