Active NPI 1417426529 Individual Practitioner Male Practitioner

Shane Moore

Nurse Practitioner - Family • Waco, TX

Professional Overview & Biography Verified Profile Summary

Shane Moore is a certified Nurse Practitioner - Family practicing in Waco, TX. With approximately 8 years of clinical experience since completing medical education in 2018, Shane Moore delivers high-quality medical care to the local community at 7030 NEW SANGER AVE STE 204.

Shane Moore is affiliated with Legacy Urgent Care Pa and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay with direct visual observation for influenza virus, 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

7030 New Sanger Ave Ste 204

Waco, TX 767124074

Telephone 2542459175

Fax 2542137771

Associated Practice Facility / Clinic

🏢 Central Texas Day Surgery Center Llc Facility NPI 1962459610

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Waco, TX

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs -1.7 yrs vs City Avg

City Avg: 9.7 Yrs

State Avg: 8.8 Yrs

Regional Practice Density

153 Specialists

Practicing in Waco, TX (21454 Statewide)

Telehealth Adoption Rate

16.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (8 Years) 8 Yrs

Waco Specialty Average (9.7 Years) 9.7 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	74	$249.00	$104.27
87804 Detection test by immunoassay with direct visual observation for influenza virus	60	30	$44.00	$15.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$265.00	$136.03
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	32	31	$78.00	$33.84
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	27	26	$12.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	26	25	$83.33	$10.35
81003 Automated urinalysis test	23	23	$8.00	$2.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	20	19	$44.00	$15.62
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$244.00	$73.69
71046 X-ray of chest, 2 views	14	13	$85.00	$21.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	14	$55.89	$11.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	51	$226.57	$73.65
87804 Detection test by immunoassay with direct visual observation for influenza virus	38	18	$46.84	$16.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$258.95	$91.28
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	25	23	$116.80	$34.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$257.61	$104.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$283.89	$135.64
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$45.60	$16.20
80053 Blood test, comprehensive group of blood chemicals	13	13	$68.20	$10.35
81003 Automated urinalysis test	13	13	$8.38	$2.20
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	13	$20.08	$7.61
36415 Insertion of needle into vein for collection of blood sample	11	11	$9.55	$8.40
71046 X-ray of chest, 2 views	11	11	$85.55	$23.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	37	36	$202.70	$74.22
87804 Detection test by immunoassay with direct visual observation for influenza virus	24	12	$50.00	$16.22
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	19	18	$165.00	$41.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$279.69	$91.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$427.27	$136.10
71046 X-ray of chest, 2 views	11	11	$87.00	$24.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	112	97	$80.00	$45.23
J1100 Injection, dexamethasone sodium phosphate, 1 mg	104	11	$6.85	$0.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$275.00	$92.82
99213 Established patient office or other outpatient visit, typically 15 minutes	46	43	$247.28	$75.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$194.52	$46.55
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$210.20	$60.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$339.06	$107.53
71046 X-ray of chest, 2 views	14	14	$170.20	$27.83
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$45.00	$16.53
87804 Detection test by immunoassay with direct visual observation for influenza virus	13	13	$45.00	$16.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$350.00	$138.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	30	30	$151.20	$60.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$181.15	$58.37

Medical Specialties & State Licenses

CMS Verified: 2020-10-14

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License TX AP139172

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License

AP139172 (TX)

Hospital & Practice Group Affiliations

Legacy Urgent Care Pa

9205 Legacy Dr, Frisco, TX 750336750

Phone: 9726256020

Secondary Practice Locations

2304 Marketplace Dr

Waco, TX 767112467

Phone: 2542027300

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Kristian Delgado , MD

Pain Medicine - Interventional Pain Medicine

NPI 1033300256

Doctor of Medicine (M.D.)

Myesha Schultz , FNP

Nurse Practitioner - Family

NPI 1033863949

Family Nurse Practitioner

Thomas Temple

Nurse Practitioner - Family

NPI 1093231631

Dr. Ky Viet Quach , DO

Physical Medicine & Rehabilitation

NPI 1114487360

Doctor of Osteopathic Medicine (D.O.)

Stephen Mcclintock , NP

Nurse Practitioner - Family

NPI 1124505953

Nurse Practitioner

Krista Strawser , FNP

Nurse Practitioner - Family

NPI 1154674406

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 19, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location November 19, 2018

Registered at 7030 NEW SANGER AVE STE 204, WACO, TX 767124074 (Tel: 2542459175)

📍

Updated Business Mailing Address November 19, 2018

Registered at PO BOX 11538, KILLEEN, TX 765471538 (Tel: 2542459177)

👤

Provider Name / Credentials Updated November 19, 2018

Recorded as SHANE MOORE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2018

Nurse Practitioner (License #AP139172 in TX)

🟢

Initial NPI Registration & Enumeration November 19, 2018

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: 1417426529

Entity Type:

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

Enumeration Date: November 19, 2018

Last Update: October 14, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 11538

Killeen, TX 765471538

Phone: 2542459177

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.