Active NPI 1972580462 Individual Practitioner Male Practitioner

Dr. James Thomas Moore , MD

Surgery • Abington, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Moore, MD is a certified Surgery practicing in Abington, PA. With approximately 46 years of clinical experience since graduating from Medical College Of Pennsylvania in 1980, Dr. Moore delivers high-quality medical care to the local community at 1208 HIGHLAND AVE.

Dr. Moore is affiliated with Abington Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, partial removal of breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1208 Highland Ave

Abington, PA 190013706

Telephone 2158873565

Fax 2158870448

Associated Practice Facility / Clinic

🏢 Huntingdon Valley Surgical Consultants Facility NPI 1205867371

Medicare Profile & Education

Medical School

Medical College Of Pennsylvania

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Abington, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +19.1 yrs vs City Avg

City Avg: 26.9 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

26 Specialists

Practicing in Abington, PA (1976 Statewide)

Telehealth Adoption Rate

3.8% 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 (46 Years) 46 Yrs

Abington Specialty Average (26.9 Years) 26.9 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	225	187	$181.00	$93.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$246.00	$114.55
19301 Partial removal of breast	27	27	$2158.00	$692.00
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	27	27	$1450.00	$242.79
38792 Injection of radioactive material for x-ray identification of lymph node	26	26	$130.00	$16.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$257.00	$131.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$360.00	$184.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$415.00	$170.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	255	210	$171.98	$94.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$246.00	$117.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	27	$356.57	$185.92
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	25	25	$1450.00	$243.07
19301 Partial removal of breast	25	23	$2158.00	$683.27
38792 Injection of radioactive material for x-ray identification of lymph node	24	24	$130.00	$16.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$253.50	$132.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$415.00	$173.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	244	198	$161.00	$96.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$246.00	$119.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	24	$249.00	$136.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$354.00	$191.35
19301 Partial removal of breast	18	18	$2158.00	$727.67
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	16	16	$1450.00	$247.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$415.00	$177.69
38792 Injection of radioactive material for x-ray identification of lymph node	14	14	$130.00	$18.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	264	217	$161.00	$97.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$246.00	$120.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	32	$249.00	$138.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$415.00	$179.43
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	21	21	$1450.00	$246.99
19301 Partial removal of breast	19	19	$2158.00	$724.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$354.00	$193.28
38792 Injection of radioactive material for x-ray identification of lymph node	14	14	$130.00	$19.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	203	173	$161.00	$77.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	69	$249.00	$111.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$246.00	$110.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$415.00	$168.85
99354 Prolonged office or other outpatient service first hour	32	31	$294.00	$132.66
19301 Partial removal of breast	30	30	$2158.00	$701.40
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	28	28	$1450.00	$247.36
38792 Injection of radioactive material for x-ray identification of lymph node	17	17	$130.00	$18.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	263	212	$161.00	$75.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	84	$249.00	$111.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$246.00	$111.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$415.00	$168.79
99354 Prolonged office or other outpatient service first hour	36	35	$294.00	$132.84
19301 Partial removal of breast	35	34	$2219.66	$722.94
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	28	28	$1450.00	$243.05
38792 Injection of radioactive material for x-ray identification of lymph node	19	19	$130.00	$17.54
19125 Removal of breast growth, open procedure	15	15	$1518.00	$492.86
19303 Total removal of breast	13	13	$3343.00	$1071.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	238	180	$161.00	$72.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	105	$249.00	$107.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$246.00	$108.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$415.00	$164.86
99354 Prolonged office or other outpatient service first hour	38	37	$294.00	$129.96
19301 Partial removal of breast	37	37	$2158.00	$674.00
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	32	32	$1450.00	$242.31
38792 Injection of radioactive material for x-ray identification of lymph node	19	19	$130.00	$21.37
19303 Total removal of breast	17	17	$3343.00	$979.31
19125 Removal of breast growth, open procedure	15	15	$1518.00	$478.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	191	150	$161.00	$71.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	102	$249.00	$105.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$246.00	$107.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$415.00	$162.45
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	36	35	$1450.00	$248.97
19301 Partial removal of breast	33	31	$2158.00	$586.73
38792 Injection of radioactive material for x-ray identification of lymph node	19	18	$130.00	$25.11
99354 Prolonged office or other outpatient service first hour	19	19	$294.00	$127.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$81.00	$43.51
19303 Total removal of breast	14	14	$3343.00	$1132.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$354.00	$142.79
19125 Removal of breast growth, open procedure	12	12	$1518.00	$470.73

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD-025657E

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0018609380001 (PA)

Commercial Insurance / Payer ID Aetna

1002111 (PA)

Commercial Insurance / Payer ID Blue Cross Blue Shield

265028 (PA)

Commercial Insurance / Payer ID Keystone

0045129000 (PA)

Commercial Insurance / Payer ID Railroad Medicare

020039062 (PA)

Commercial Insurance / Payer ID Cigna

1087030002 (PA)

Hospital & Practice Group Affiliations

Abington Memorial Hospital

1200 Old York Rd, Abington, PA 190013720

Abington Memorial Hospital

2100 N Broad St, Lansdale, PA 194461052

Phone: 2153681122

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Heather Collins , DO

Family Medicine

NPI 1497750905

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 07, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 07, 2011

Registered at 1208 HIGHLAND AVE, ABINGTON, PA 190013706 (Tel: 2158873565)

📍

Updated Business Mailing Address April 07, 2011

Registered at 1208 HIGHLAND AVE, ABINGTON, PA 190013706 (Tel: 2158873565)

👤

Provider Name / Credentials Updated April 07, 2011

Recorded as JAMES MOORE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2011

Surgery (License #MD-025657E in PA)

🟢

Initial NPI Registration & Enumeration December 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1972580462

Entity Type:

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

Enumeration Date: December 27, 2005

Last Update: April 07, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1208 Highland Ave

Abington, PA 190013706

Phone: 2158873565

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.