Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497901029 Individual Practitioner Male Practitioner

Anthony Allen Moore , PA

Physician Assistant - Surgical • Orlando, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Anthony Moore, PA is a certified Physician Assistant - Surgical practicing in Orlando, FL. With approximately 18 years of clinical experience since completing medical education in 2008, Anthony Moore delivers high-quality medical care to the local community at 4215 EDGEWATER DR.

Anthony Moore accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of gallbladder using an endoscope, partial removal of liver tissue, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4215 Edgewater Dr

Orlando, FL 328042206

Telephone 8555827747
Fax 8889724761
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Orlando, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +6.9 yrs vs City Avg
City Avg: 11.1 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
193 Specialists

Practicing in Orlando, FL (1463 Statewide)

Telehealth Adoption Rate
7.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
97.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (18 Years) 18 Yrs
Orlando Specialty Average (11.1 Years) 11.1 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
47562 Removal of gallbladder using an endoscope
11 11 $3350.00 $61.83
47100 Partial removal of liver tissue
11 11 $3500.00 $101.53

Medical Specialties & State Licenses

CMS Verified: 2026-07-23
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License FL PA9104697

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License FL PAT9104697

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
132026300 (FL)
Commercial Insurance / Payer ID Qss Scs Ptan
BJ031X (FL)

Secondary Practice Locations

8725 N Wickham Rd Ste 302

Melbourne, FL 329402240

Phone: 3218685871

701 W Cocoa Beach Cswy

Cocoa Beach, FL 329315595

Phone: 3218685871

699 W Cocoa Beach Cswy Ste 505

Cocoa Beach, FL 329313562

Phone: 3218685871

8745 N Wickham Rd

Melbourne, FL 329405997

Phone: 3218685871

Practice Associates & Co-Workers

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

12 Associated Practitioners
Michael Hammoor , PA-C

Physician Assistant - Surgical

NPI 1043272255

Physician Assistant (Certified)

Denise Livingston , ARNP

Nurse Practitioner - Adult Health

NPI 1083968820

Advanced Registered Nurse Practitioner

Penn Mattox , PA-C

Physician Assistant - Surgical

NPI 1104805001

Physician Assistant (Certified)

Michelle Pettit , PA-C

Physician Assistant

NPI 1114000676

Physician Assistant (Certified)

Wilberto Olivera , PA-C

Physician Assistant - Surgical

NPI 1306916572

Physician Assistant (Certified)

Kenneth Baker , PA-C

Physician Assistant

NPI 1407884950

Physician Assistant (Certified)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Business Mailing Address July 23, 2026

Registered at 695 US HIGHWAY 46 STE 400A, FAIRFIELD, NJ 070041568 (Tel: 9738941265)

NPI Profile Active September 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2017

Registered at 4215 EDGEWATER DR, ORLANDO, FL 328042206 (Tel: 8555827747)

📍
Updated Business Mailing Address September 27, 2017

Registered at 695 US HIGHWAY 46, STE 400A, FAIRFIELD, NJ 070041568 (Tel: (973) 894-1265)

👤
Provider Name / Credentials Updated September 27, 2017

Recorded as ANTHONY MOORE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2017

Physician Assistant (License #PAT9104697 in FL)

📍
Updated Business Mailing Address August 07, 2017

Registered at 695 US HIGHWAY 46, STE 400A, FAIRFIELD, NJ 070041568 (Tel: 9738941265)

NPI Profile Active August 14, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2008

Registered at 301 E HIBISCUS BLVD, MELBOURNE, FL 329013105 (Tel: 3214098941)

📍
Updated Business Mailing Address August 14, 2008

Registered at PO BOX 1261, MELBOURNE, FL 329021261 (Tel: 3214098941)

👤
Provider Name / Credentials Updated August 14, 2008

Recorded as ANTHONY MOORE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2008

Physician Assistant (License #PAT9104697 in FL)

🟢
Initial NPI Registration & Enumeration August 14, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Anthony Moore. Be the first to share your experience!

Sign in to leave a review for Anthony Moore

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1497901029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2008
Last Update: July 23, 2026
Sole Proprietor: No

Mailing Address

695 Us Highway 46 Ste 400a

Fairfield, NJ 070041568

Phone: 9738941265

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.