Active NPI 1679945000 Individual Practitioner Female Practitioner

Jacqueline Faith Moore , PA-C

Physician Assistant • Albany, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacqueline Moore, PA-C is a certified Physician Assistant practicing in Albany, OR. With approximately 11 years of clinical experience since completing medical education in 2015, Jacqueline Moore delivers high-quality medical care to the local community at 400 HICKORY ST NW STE 303.

Jacqueline Moore maintains professional affiliations with Good Samaritan Hospital Corvallis, Albany General Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of tissue from wound, 20.0 sq cm or less, application of vein wound compression bandages on lower leg, ankle, and foot. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Hickory St Nw Ste 303

Albany, OR 973211700

Telephone 5418125275

Associated Practice Facility / Clinic

🏢 Albany General Hospital Facility NPI 1740546902

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Albany, OR

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +2.5 yrs vs City Avg

City Avg: 8.5 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

28 Specialists

Practicing in Albany, OR (2106 Statewide)

Telehealth Adoption Rate

3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (11 Years) 11 Yrs

Albany Specialty Average (8.5 Years) 8.5 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	36	35	$232.00	$73.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	153	60	$217.60	$56.59
97597 Removal of tissue from wound, 20.0 sq cm or less	104	37	$250.34	$31.63
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	64	12	$307.62	$37.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$140.18	$30.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$301.00	$82.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	711	171	$232.59	$59.05
97597 Removal of tissue from wound, 20.0 sq cm or less	417	99	$258.64	$32.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	154	105	$145.34	$32.34
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	153	37	$245.16	$33.56
29580 Strapping, unna boot	104	23	$111.46	$32.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$289.05	$73.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	24	$328.62	$88.18
11042 Removal of skin and tissue, 20.0 sq cm or less	17	13	$164.76	$53.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	429	103	$197.00	$31.67
99213 Established patient office or other outpatient visit, typically 15 minutes	421	151	$219.69	$59.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	134	75	$137.40	$32.10
97598 Removal of tissue from wound, each additional 20.0 sq cm	56	16	$238.00	$22.24
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	50	24	$213.18	$27.48
11042 Removal of skin and tissue, 20.0 sq cm or less	46	31	$187.00	$53.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	31	$311.64	$88.58
29580 Strapping, unna boot	35	14	$92.00	$26.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$279.17	$75.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$421.00	$116.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	68	$149.86	$52.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$154.29	$69.59
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$152.06	$52.50
81003 Automated urinalysis test	14	13	$13.00	$2.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	95	$163.37	$54.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$202.00	$72.62
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$150.38	$51.09
81002 Urinalysis, manual test	13	12	$21.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	91	$146.64	$52.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$162.44	$71.08

Medical Specialties & State Licenses

CMS Verified: 2023-11-20

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA175138

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

Albany General Hospital

1970 14th Ave Se, Albany, OR 973228527

Phone: 5418125670

Albany General Hospital

705 Elm St Sw, Albany, OR 973211957

Phone: 5418124850

Good Samaritan Hospital Corvallis

2555 Ne Belvue St, Corvallis, OR 973304202

Phone: 5417682220

Good Samaritan Hospital Corvallis

3600 Nw Samaritan Dr, Corvallis, OR 973303737

Good Samaritan Hospital Corvallis

3600 Nw Samaritan Dr, Corvallis, OR 973303737

Phone: 5417681261

Secondary Practice Locations

5234 Sw Philomath Blvd

Corvallis, OR 973331042

Phone: 5417684970

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Christian Velez Cruz , MD

Family Medicine

NPI 1093273765

Doctor of Medicine (M.D.)

Travis Welch , APRN-NP

Nurse Practitioner - Family

NPI 1326826223

APRNNP

Dr. Steven Simon , MD

Family Medicine

NPI 1346290871

Doctor of Medicine (M.D.)

Bradford Chaney , FNP

Nurse Practitioner - Family

NPI 1417383886

Family Nurse Practitioner

Dr. Bruce Bohman , MD

Family Medicine

NPI 1437112919

Doctor of Medicine (M.D.)

Emily Atharinikrouh , FNP

Nurse Practitioner - Primary Care

NPI 1639424104

Family Nurse Practitioner

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location November 20, 2023

Registered at 400 HICKORY ST NW STE 303, ALBANY, OR 973211700 (Tel: 5418125275)

📍

Updated Business Mailing Address November 20, 2023

Registered at PO BOX 1189, CORVALLIS, OR 973391189 (Tel: 5417687999)

📍

Updated Business Mailing Address May 24, 2021

Registered at PO BOX 2168, CARSON CITY, NV 897022168 (Tel: 7754458790)

📍

Updated Business Mailing Address November 11, 2020

Registered at PO BOX 1189, CORVALLIS, OR 973391189

📍

Updated Practice Location March 13, 2019

Registered at 5234 SW PHILOMATH BLVD, CORVALLIS, OR 973331042 (Tel: 5417684970)

📍

Updated Business Mailing Address March 13, 2019

Registered at 5234 SW PHILOMATH BLVD, CORVALLIS, OR 973331042 (Tel: 5417684970)

👤

Provider Name / Credentials Updated March 13, 2019

Recorded as JACQUELINE MOORE, PA-C

👤

Provider Name / Credentials Updated February 15, 2018

Recorded as JACQUELINE MOORE, PA

✅

NPI Profile Active November 03, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 03, 2015

Registered at 425 N SANTIAM HWY, LEBANON, OR 973554361 (Tel: 5414516960)

📍

Updated Business Mailing Address November 03, 2015

Registered at 2500 LYON ST SE, ALBANY, OR 973223948 (Tel: 5419916876)

👤

Provider Name / Credentials Updated November 03, 2015

Recorded as JACQUELINE FITCH, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2015

Physician Assistant (License #PA175138 in OR)

🟢

Initial NPI Registration & Enumeration October 26, 2015

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: 1679945000

Entity Type:

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

Enumeration Date: October 26, 2015

Last Update: November 20, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 1189

Corvallis, OR 973391189

Phone: 5417687999

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.