Active NPI 1639697709 Individual Practitioner Female Practitioner

Haley Brooke Moak , PA-C

Physician Assistant • Portland, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Haley Moak, PA-C is a certified Physician Assistant practicing in Portland, OR. With approximately 9 years of clinical experience since completing medical education in 2017, Haley Moak delivers high-quality medical care to the local community at 10803 SE CHERRY BLOSSOM DR.

Haley Moak is affiliated with St Lukes Clinic-Treasure Valley Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, transitional care management services for problem of at least moderate complexity, 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

10803 Se Cherry Blossom Dr

Portland, OR 972163107

Telephone 5032617200

Fax 5032617226

Associated Practice Facility / Clinic

🏢 South Tabor Family Physicians Facility NPI 1982649299

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Portland, OR

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -1.1 yrs vs City Avg

City Avg: 10.1 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

470 Specialists

Practicing in Portland, OR (2106 Statewide)

Telehealth Adoption Rate

23.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moak (9 Years) 9 Yrs

Portland Specialty Average (10.1 Years) 10.1 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	158	128	$147.17	$51.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	80	$217.24	$76.19
99495 Transitional care management services for problem of at least moderate complexity	20	20	$273.40	$109.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	95	78	$142.33	$52.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	36	$207.98	$77.00
99495 Transitional care management services for problem of at least moderate complexity	20	19	$280.20	$110.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$77.00	$27.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$292.08	$104.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	60	$126.83	$53.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	51	$185.74	$78.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	90	73	$97.60	$54.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	68	$150.10	$80.00
99442 Telephone medical discussion with physician, 11-20 minutes	20	18	$110.80	$54.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	126	106	$96.00	$41.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$148.00	$64.39
99443 Telephone medical discussion with physician, 21-30 minutes	14	13	$148.00	$64.34
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$96.00	$41.67

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	21	13	$257.00	$78.64
99213 Established patient office or other outpatient visit, typically 15 minutes	20	13	$174.00	$58.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	21	16	$172.67	$57.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	14	$252.83	$84.47
36415 Insertion of needle into vein for collection of blood sample	11	11	$14.64	$2.69

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

St Lukes Clinic-Treasure Valley Llc

610 W Hays St, Boise, ID 837025511

Phone: 2083815970

St Lukes Clinic-Treasure Valley Llc

520 S Eagle Rd, Meridian, ID 836426351

St Lukes Clinic-Treasure Valley Llc

9850 St Lukes Dr, Nampa, ID 836877912

St Lukes Clinic-Treasure Valley Llc

9580 W St Lukes Dr, Nampa, ID 836877912

Phone: 2085052711

St Lukes Clinic-Treasure Valley Llc

190 E Bannock St, Boise, ID 837126241

Phone: 2083819384

St Lukes Clinic-Treasure Valley Llc

100 E Bannock St, Boise, ID 837126241

Phone: 2083812983

St Lukes Clinic-Treasure Valley Llc

9850 W St Luke's Dr, Nampa, ID 836877912

St Lukes Clinic-Treasure Valley Llc

608 W Hays St, Boise, ID 837025511

Phone: 2083815970

Practice Associates & Co-Workers

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

20 Associated Practitioners

Dr. Timothy Janzen , MD

Family Medicine

NPI 1003845447

Doctor of Medicine (M.D.)

Stephanie Casey

Family Medicine

NPI 1023399367

Dr. Joshua Reese , MD

Family Medicine

NPI 1053630756

Doctor of Medicine (M.D.)

Jennifer Stager , BS, MMS, PA-C

Physician Assistant

NPI 1124210430

Bachelor of Science, MMS, Physician Assistant (Certified)

Dr. Walter Norton , MD

Family Medicine

NPI 1134150493

Doctor of Medicine (M.D.)

Dr. Bruce Douglas , MD

Family Medicine

NPI 1134158561

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 September 08, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 08, 2017

Registered at 10803 SE CHERRY BLOSSOM DR, PORTLAND, OR 972163107 (Tel: 5032617200)

📍

Updated Business Mailing Address September 08, 2017

Registered at 911 SW 21ST AVE APT 204, PORTLAND, OR 972051565 (Tel: 5415192923)

👤

Provider Name / Credentials Updated September 08, 2017

Recorded as HALEY MOAK, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2017

Physician Assistant

🟢

Initial NPI Registration & Enumeration September 08, 2017

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: 1639697709

Entity Type:

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

Enumeration Date: September 08, 2017

Last Update: September 08, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

911 Sw 21st Ave Apt 204

Portland, OR 972051565

Phone: 5415192923

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.