Active NPI 1053302059 Individual Practitioner Male Practitioner

James Moore , PA

Physician Assistant - Surgical • Melbourne Beach, FL

Professional Overview & Biography Verified Profile Summary

James Moore, PA is a registered healthcare professional specializing in Physician Assistant - Surgical in Melbourne Beach, FL. Practice services are available at 310 AMBERJACK PL under active NPI credentials.

Frequently performed procedures and clinical services include replacement of knee joint, both sides of knee, replacement of thigh bone and hip joint with prosthesis, insertion of cage or mesh device to spine bone and disc space during spine fusion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

310 Amberjack Pl

Melbourne Beach, FL 329512906

Telephone 3216841193

Associated Practice Facility / Clinic

🏢 First Peak Surgical Assisting Facility NPI 1982113916

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Melbourne Beach, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 15.3 Yrs

Regional Practice Density

1 Specialists

Practicing in Melbourne Beach, FL (1463 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	26	25	$647.00	$183.12
27130 Replacement of thigh bone and hip joint with prosthesis	19	18	$675.00	$182.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27130 Replacement of thigh bone and hip joint with prosthesis	54	52	$610.00	$183.73
27447 Replacement of knee joint, both sides of knee	46	46	$565.70	$183.47
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	15	11	$115.77	$38.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27130 Replacement of thigh bone and hip joint with prosthesis	46	46	$483.04	$196.15
27447 Replacement of knee joint, both sides of knee	40	40	$468.13	$196.45
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	13	11	$95.00	$38.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	46	44	$3798.59	$189.80
27130 Replacement of thigh bone and hip joint with prosthesis	44	42	$3258.72	$218.77
27486 Revision of component of total knee joint prosthesis	13	12	$3436.15	$194.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	86	82	$2054.44	$203.74
27130 Replacement of thigh bone and hip joint with prosthesis	33	32	$1987.95	$192.21

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License FL PA9103288

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

003500000 (FL)

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Physician Assistant

✅

NPI Profile Active June 29, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 29, 2017

Registered at 310 AMBERJACK PL, MELBOURNE BEACH, FL 329512906 (Tel: 3216841193)

📍

Updated Business Mailing Address June 29, 2017

Registered at PO BOX 510764, MELBOURNE BEACH, FL 329510764 (Tel: (321) 684-1193)

👤

Provider Name / Credentials Updated June 29, 2017

Recorded as JAMES MOORE, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2017

Physician Assistant

✅

NPI Profile Active May 18, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 18, 2012

Registered at 1350 S HICKORY ST, PSO, MELBOURNE, FL 329013224 (Tel: 3214341401)

📍

Updated Business Mailing Address May 18, 2012

Registered at PO BOX 561600, ROCKLEDGE, FL 329561600 (Tel: 3214344600)

👤

Provider Name / Credentials Updated May 18, 2012

Recorded as JAMES MOORE, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2012

Physician Assistant (License #PA9103288 in FL)

🟢

Initial NPI Registration & Enumeration October 31, 2005

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: 1053302059

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 31, 2005

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 510764

Melbourne Beach, FL 329510764

Phone: 3216841193

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.