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Active NPI 1134602774 Individual Practitioner Female Practitioner

Meredith Moore , PA-C

Physician Assistant • Troy, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Meredith Moore, PA-C is a certified Physician Assistant practicing in Troy, MI. With approximately 8 years of clinical experience since completing medical education in 2018, Meredith Moore delivers high-quality medical care to the local community at 44201 DEQUINDRE RD.

Meredith Moore is affiliated with Beaumont Medical Group- Specialty Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

44201 Dequindre Rd

Troy, MI 480851117

Telephone 2489648432
Associated Practice Facility / Clinic
🏢 William Beaumont Hospital Facility NPI 1306825997

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Troy, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -4.1 yrs vs City Avg
City Avg: 12.1 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
239 Specialists

Practicing in Troy, MI (7057 Statewide)

Telehealth Adoption Rate
8.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (8 Years) 8 Yrs
Troy Specialty Average (12.1 Years) 12.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
11 11 $425.00 $152.81

Medical Specialties & State Licenses

CMS Verified: 2023-11-15
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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nccpa
1155784

Hospital & Practice Group Affiliations

Beaumont Medical Group- Specialty Services

28100 Grand River Ave, Farmington Hills, MI 483365970

Beaumont Medical Group- Specialty Services

44201 Dequindre Rd, Troy, MI 480851117

Phone: 2489640535

Beaumont Medical Group- Specialty Services

44201 Dequindre Rd, Troy, MI 480851117

Phone: 2489645000

Secondary Practice Locations

3290 W Big Beaver Rd Ste 150

Troy, MI 480842931

Phone: 2487926527

44199 Dequindre Rd

Troy, MI 480851128

Phone: 2489648432

Practice Associates & Co-Workers

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

22 Associated Practitioners
Devon O'connor-Kutz , PA-C

Physician Assistant

NPI 1033150727

Physician Assistant (Certified)

Gratian Moldovan

Nurse Practitioner

NPI 1073327540
Briana Alexander , PA-C

Physician Assistant

NPI 1134851777

Physician Assistant (Certified)

William Rudberg , PA

Physician Assistant - Surgical

NPI 1194942243

Physician Assistant

Dilja Selcanin , FNP-C

Nurse Practitioner - Family

NPI 1205472297

Family Nurse Practitioner (Certified)

Mariam Aziz

Physician Assistant - Surgical

NPI 1245695287

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location November 15, 2023

Registered at 44201 DEQUINDRE RD, TROY, MI 480851117 (Tel: 2489648432)

📍
Updated Business Mailing Address November 15, 2023

Registered at 26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 480333849

👤
Provider Name / Credentials Updated November 15, 2023

Recorded as MEREDITH MOORE, PA-C

📍
Updated Practice Location July 11, 2019

Registered at 44199 DEQUINDRE RD STE 315, TROY, MI 48085 (Tel: 3136000338)

📍
Updated Business Mailing Address July 11, 2019

Registered at 44199 DEQUINDRE RD STE 315, TROY, MI 480851128 (Tel: 3136000338)

NPI Profile Active September 10, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2018

Registered at 3290 W BIG BEAVER RD STE 150, TROY, MI 480842931 (Tel: 2487926527)

📍
Updated Business Mailing Address September 10, 2018

Registered at 374 RIVARD BLVD, GROSSE POINTE, MI 482301671 (Tel: 3136000338)

👤
Provider Name / Credentials Updated September 10, 2018

Recorded as MEREDITH COLOSI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2018

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 10, 2018

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: 1134602774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2018
Last Update: November 15, 2023
Sole Proprietor: No

Mailing Address

26901 Beaumont Blvd Ste 3d

Southfield, MI 480333849

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.