Active NPI 1851780928 Individual Practitioner Male Practitioner

Jacob Moore , PA-C

Physician Assistant • New Brighton, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jacob Moore, PA-C is a certified Physician Assistant practicing in New Brighton, MN. With approximately 12 years of clinical experience since completing medical education in 2014, Jacob Moore delivers high-quality medical care to the local community at 1900 SILVER LAKE RD NW.

Jacob Moore is affiliated with Nystrom And Associates Ltd and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, psychotherapy with evaluation and management visit, new 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

1900 Silver Lake Rd Nw
Suite 110

New Brighton, MN 551121786

Telephone 6516289566

Fax 6516280411

Associated Practice Facility / Clinic

🏢 Nystrom & Associates, Ltd Facility NPI 1396750188

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in New Brighton, MN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +5.6 yrs vs City Avg

City Avg: 6.4 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

17 Specialists

Practicing in New Brighton, MN (4026 Statewide)

Telehealth Adoption Rate

23.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

68.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (12 Years) 12 Yrs

New Brighton Specialty Average (6.4 Years) 6.4 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	205	54	$265.83	$105.25
90833 Psychotherapy with evaluation and management visit, 30 minutes	92	37	$168.48	$58.11
99213 Established patient office or other outpatient visit, typically 15 minutes	39	21	$246.51	$77.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$660.00	$186.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	47	$265.45	$91.03
90833 Psychotherapy with evaluation and management visit, 30 minutes	101	39	$170.30	$55.39
99213 Established patient office or other outpatient visit, typically 15 minutes	58	31	$246.76	$61.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$660.00	$122.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	44	$265.13	$97.59
90833 Psychotherapy with evaluation and management visit, 30 minutes	112	38	$181.25	$57.77
99213 Established patient office or other outpatient visit, typically 15 minutes	53	25	$246.45	$66.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	75	$265.30	$109.31
90833 Psychotherapy with evaluation and management visit, 30 minutes	129	65	$190.31	$59.68
99213 Established patient office or other outpatient visit, typically 15 minutes	43	25	$246.14	$76.66
90785 Psychiatric services complicated by communication factor	35	20	$33.00	$12.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	244	73	$265.80	$91.95
90833 Psychotherapy with evaluation and management visit, 30 minutes	160	66	$175.31	$60.60
90785 Psychiatric services complicated by communication factor	89	49	$33.00	$13.15
99213 Established patient office or other outpatient visit, typically 15 minutes	79	37	$247.09	$62.74
90792 Psychiatric diagnostic evaluation with medical services	29	29	$660.00	$135.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90833 Psychotherapy with evaluation and management visit, 30 minutes	231	75	$145.03	$57.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	194	62	$267.00	$90.75
99213 Established patient office or other outpatient visit, typically 15 minutes	84	49	$248.00	$62.01
90785 Psychiatric services complicated by communication factor	60	24	$33.00	$12.67
90792 Psychiatric diagnostic evaluation with medical services	35	35	$660.00	$130.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90833 Psychotherapy with evaluation and management visit, 30 minutes	163	59	$117.00	$56.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	64	$264.00	$90.35
99213 Established patient office or other outpatient visit, typically 15 minutes	47	27	$245.00	$61.26
90792 Psychiatric diagnostic evaluation with medical services	32	32	$660.00	$125.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	52	$260.00	$89.90
90833 Psychotherapy with evaluation and management visit, 30 minutes	91	45	$114.00	$54.62
90792 Psychiatric diagnostic evaluation with medical services	44	44	$660.00	$121.94
99213 Established patient office or other outpatient visit, typically 15 minutes	43	26	$241.00	$61.07

Medical Specialties & State Licenses

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

Nystrom And Associates Ltd

1900 Silver Lake Nwrd, New Brighton, MN 551121789

Nystrom And Associates Ltd

1900 Silver Lake Rd Nw, New Brighton, MN 551121789

Phone: 6516289566

Nystrom And Associates Ltd

1107 Hazeltine Blvd, Chaska, MN 553181009

Phone: 9523951441

Practice Associates & Co-Workers

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

40 Associated Practitioners

Bethany Gavic , MSW, LICSW

Social Worker - Clinical

NPI 1003153792

Master of Social Work, Licensed Independent Clinical Social Worker

Sarah Hoover

Marriage & Family Therapist

NPI 1003190463

Jennifer Perri

Marriage & Family Therapist

NPI 1013275650

Nathan Hockert

Physician Assistant - Medical

NPI 1013385723

Deborah Malchow , MSW, LICSW

Social Worker - Clinical

NPI 1013674167

Master of Social Work, Licensed Independent Clinical Social Worker

Jack Hinrichs , MA, LMFT

Marriage & Family Therapist

NPI 1023035599

Master of Arts, Licensed Marriage and Family Therapist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 27, 2015

Registered at 1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 551121786 (Tel: 6516289566)

📍

Updated Business Mailing Address April 27, 2015

Registered at 1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 551121786 (Tel: 6516289566)

👤

Provider Name / Credentials Updated April 27, 2015

Recorded as JACOB MOORE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2015

Physician Assistant

🟢

Initial NPI Registration & Enumeration January 13, 2015

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 Jacob Moore. Be the first to share your experience!

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

NPI Administrative Meta

NPI Number: 1851780928

Entity Type:

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

Enumeration Date: January 13, 2015

Last Update: April 27, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1900 Silver Lake Rd Nw, Suite 110

New Brighton, MN 551121786

Phone: 6516289566

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.