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Active NPI 1003805201 Individual Practitioner Male Practitioner

Jon G. Moore , PA-C

Physician Assistant • Saint Robert, MO

Professional Overview & Biography Verified Profile Summary

Jon Moore, PA-C is a registered healthcare professional specializing in Physician Assistant in Saint Robert, MO. Practice services are available at 608 OLD ROUTE 66 under active NPI credentials.

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

608 Old Route 66

Saint Robert, MO 655843730

Telephone 5733365100
Associated Practice Facility / Clinic
🏢 Mercy Hospital Lebanon Facility NPI 1912345257

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Saint Robert, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.3 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Saint Robert, MO (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.3% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
1,095 697 $110.00 $58.93
17003 Destruction of precancer skin growth, 2-14 growths
889 264 $20.00 $4.39
17000 Destruction of skin growth
394 325 $128.25 $50.09
17004 Destruction of precancer skin growth, 15 or more growths
326 203 $468.00 $118.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
186 141 $67.00 $35.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
34 34 $166.00 $86.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
18 16 $161.00 $86.64
17110 Destruction of up to 14 skin growths
16 13 $172.88 $85.16

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 118222

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 Tricare
431560263 (MO)
Commercial Insurance / Payer ID Rr Mcr
P01262378 (MO)

Practice Associates & Co-Workers

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

20 Associated Practitioners
NPI 1043925639

Physician Assistant (Certified)

James Reeves , PA-C, MPT

Physician Assistant

NPI 1053444323

Physician Assistant (Certified), Master of Physical Therapy

Mark Allen , FNP-BC

Nurse Practitioner - Family

NPI 1134791411

Family Nurse Practitioner (Board Certified)

Rachel Nix , CNP

Nurse Practitioner - Family

NPI 1194267708

Certified Nurse Practitioner

NPI 1225259278

Doctor of Medicine (M.D.)

Dr. Saima Jabeen , MD

Internal Medicine

NPI 1316976582

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 13, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2014

Registered at 608 OLD ROUTE 66, SAINT ROBERT, MO 655843730 (Tel: 5733365100)

📍
Updated Business Mailing Address March 13, 2014

Registered at PO BOX 2580, SPRINGFIELD, MO 658012580 (Tel: 4178294620)

👤
Provider Name / Credentials Updated March 13, 2014

Recorded as JON MOORE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2014

Physician Assistant (License #118222 in MO)

🟢
Initial NPI Registration & Enumeration October 19, 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: 1003805201
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2005
Last Update: March 13, 2014
Sole Proprietor: No

Mailing Address

Po Box 2580

Springfield, MO 658012580

Phone: 4178294620

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.