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Active NPI 1467112250 Individual Practitioner Male Practitioner

Johnathan M Moore , PA

Physician Assistant • Danielson, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Johnathan Moore, PA is a certified Physician Assistant practicing in Danielson, CT. With approximately 4 years of clinical experience since completing medical education in 2022, Johnathan Moore delivers high-quality medical care to the local community at 55 GREEN HOLLOW RD.

Johnathan Moore is affiliated with Day Kimball Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Green Hollow Rd

Danielson, CT 062393533

Telephone 8607791865
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Danielson, CT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -2.0 yrs vs City Avg
City Avg: 6.0 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Danielson, CT (2065 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (4 Years) 4 Yrs
Danielson Specialty Average (6.0 Years) 6.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes
189 149 $175.00 $80.20
17003 Destruction of precancer skin growth, 2-14 growths
146 46 $15.00 $5.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
87 55 $245.00 $113.58
17000 Destruction of skin growth
69 61 $145.00 $52.95
11102 Tangential biopsy of single skin lesion
51 49 $193.00 $89.80
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
49 15 $5.00 $1.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
34 20 $50.00 $12.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
24 24 $212.00 $95.47
17110 Destruction of up to 14 skin growths
21 13 $220.00 $100.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
14 14 $315.00 $138.79

Medical Specialties & State Licenses

CMS Verified: 2022-08-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Hospital & Practice Group Affiliations

Day Kimball Medical Group Inc

55 Green Hollow Rd, Danielson, CT 062393533

Phone: 8607791865

Day Kimball Medical Group Inc

132 Westminster Rd, Canterbury, CT 063311454

Phone: 8605462225

Secondary Practice Locations

900 Washington Rd

West Point, NY 109961109

Phone: 8459380482

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1154321974

Doctor of Medicine (M.D.)

NPI 1477077469

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1629787254

Doctor of Pharmacy (Pharm.D.)

NPI 1922660844

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 23, 2022

Registered at 55 GREEN HOLLOW RD, DANIELSON, CT 062393533 (Tel: 8607791865)

👤
Provider Name / Credentials Updated August 23, 2022

Recorded as JOHNATHAN MOORE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2022

Physician Assistant

NPI Profile Active December 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 21, 2021

Registered at 900 WASHINGTON RD, WEST POINT, NY 109961109 (Tel: 8459380482)

📍
Updated Business Mailing Address December 21, 2021

Registered at 325 N JAMES ST APT 2, PEEKSKILL, NY 105662486 (Tel: 4013007652)

👤
Provider Name / Credentials Updated December 21, 2021

Recorded as JOHNATHAN MOORE, PA-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 21, 2021

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: 1467112250
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2021
Last Update: August 23, 2022
Sole Proprietor: No

Mailing Address

325 N James St Apt 2

Peekskill, NY 105662486

Phone: 4013007652

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.