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Active NPI 1508850983 Individual Practitioner Male Practitioner

John Thomas Moore , PA-C

Physician Assistant • La Grange, NC

Professional Overview & Biography Verified Profile Summary

John Moore, PA-C is a registered healthcare professional specializing in Physician Assistant in La Grange, NC. Practice services are available at 2154 SUTTON HOOTEN LN under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with high level of medical decision making, per day, 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

2154 Sutton Hooten Ln

La Grange, NC 285518252

Telephone 2525663298
Fax 2525662829
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in La Grange, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
1 Specialists

Practicing in La Grange, NC (9374 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
33.3% 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 (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
630 106 $125.00 $62.36
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
272 51 $150.00 $90.86
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
14 14 $150.00 $130.16

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 100460

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 Medicare Group Provider Number
2335762 (NC)
Commercial Insurance / Payer ID Medicare Individual Provider Number
2763714A (NC)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Erich Smith , PA-C

Physician Assistant - Medical

NPI 1689996613

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 17, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2010

Registered at 2154 SUTTON HOOTEN LN, LA GRANGE, NC 285518252 (Tel: 2525663298)

📍
Updated Business Mailing Address February 17, 2010

Registered at 2154 SUTTON HOOTEN LN, LA GRANGE, NC 285518252 (Tel: 2525212957)

👤
Provider Name / Credentials Updated February 17, 2010

Recorded as JOHN MOORE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2010

Physician Assistant (License #100460 in NC)

🟢
Initial NPI Registration & Enumeration August 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: 1508850983
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2005
Last Update: February 17, 2010
Sole Proprietor: No

Mailing Address

2154 Sutton Hooten Ln

La Grange, NC 285518252

Phone: 2525212957

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.