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Active NPI 1700053394 Individual Practitioner Male Practitioner

Matthew Henry Moore , PA-C

Physician Assistant • Miami, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Matthew Moore, PA-C is a certified Physician Assistant practicing in Miami, OK. With approximately 19 years of clinical experience since completing medical education in 2007, Matthew Moore delivers high-quality medical care to the local community at 111 S TREATY RD.

Matthew Moore is affiliated with Northeastern Tribal Health System and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, blood test, comprehensive group of blood chemicals, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 S Treaty Rd

Miami, OK 74354

Telephone 9185401511
Fax 9185427374
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Miami, OK

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +8.0 yrs vs City Avg
City Avg: 11.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Miami, OK (1911 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (19 Years) 19 Yrs
Miami Specialty Average (11.0 Years) 11.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes
30 26 $84.03 $60.95
80053 Blood test, comprehensive group of blood chemicals
17 16 $78.00 $10.35
20610 Aspiration and/or injection of fluid from large joint
15 11 $210.67 $66.01
80061 Blood test, lipids (cholesterol and triglycerides)
14 13 $91.00 $13.12
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test
14 14 $38.00 $6.34
84100 Phosphate level
12 12 $30.00 $4.65
81001 Manual urinalysis test with examination using microscope, automated
12 12 $29.00 $3.11
84443 Blood test, thyroid stimulating hormone (TSH)
11 11 $92.00 $16.46

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 1732

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
200207110A (OK)
Medicaid State Provider ID
100736700O (OK)

Hospital & Practice Group Affiliations

Northeastern Tribal Health System

7600 S Hwy 69a, Miami, OK 743541016

Phone: 9185421655

Secondary Practice Locations

21 W Central Ave

Miami, OK 743546815

Phone: 9185423900

Practice Associates & Co-Workers

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

40 Associated Practitioners
Katherine Burke , MS

Case Manager/Care Coordinator

NPI 1013221571

Master of Science

Phillip Horn

Counselor - Mental Health

NPI 1013253111
Nina Short

Peer Specialist

NPI 1033864103
Brandon Maples

Peer Specialist

NPI 1043838899
Caroline Jones

Case Manager/Care Coordinator

NPI 1043971138
Jennifer Shobe

Counselor - Mental Health

NPI 1053658351

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location January 07, 2019

Registered at 111 S TREATY RD, MIAMI, OK 74354 (Tel: 9185401511)

📍
Updated Business Mailing Address January 07, 2019

Registered at 111 S TREATY RD, MIAMI, OK 743545327 (Tel: 9185401511)

NPI Profile Active April 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2017

Registered at 21 W CENTRAL AVE, MIAMI, OK 743546815 (Tel: 9185423900)

📍
Updated Business Mailing Address April 05, 2017

Registered at 5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 731125556 (Tel: 9185423900)

👤
Provider Name / Credentials Updated April 05, 2017

Recorded as MATTHEW MOORE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2017

Physician Assistant (License #1732 in OK)

NPI Profile Active February 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2016

Registered at 21 W CENTRAL AVE, MIAMI, OK 743546815 (Tel: 9185423900)

📍
Updated Business Mailing Address February 03, 2016

Registered at 5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 731125556 (Tel: 9185423900)

👤
Provider Name / Credentials Updated February 03, 2016

Recorded as MATTHEW MOORE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2016

Physician Assistant (License #1732 in OK)

🟢
Initial NPI Registration & Enumeration May 13, 2008

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: 1700053394
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2008
Last Update: January 07, 2019
Sole Proprietor: No

Mailing Address

111 S Treaty Rd

Miami, OK 743545327

Phone: 9185401511

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.