Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124013198 Individual Practitioner Female Practitioner

Tina Ann Wilkinson Moore , PA

Physician Assistant • Willow Park, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tina Wilkinson Moore, PA is a certified Physician Assistant practicing in Willow Park, TX. With approximately 30 years of clinical experience since completing medical education in 1996, Tina Wilkinson Moore delivers high-quality medical care to the local community at 5700 E I 20 SERVICE RD S.

Tina Wilkinson Moore is affiliated with Primary Health Physicians Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg, established 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

5700 E I 20 Service Rd S

Willow Park, TX 760085115

Telephone 8174897300
Fax 8174897302

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Willow Park, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +12.7 yrs vs City Avg
City Avg: 17.3 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Willow Park, TX (11140 Statewide)

Telehealth Adoption Rate
20.0% 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. Wilkinson Moore (30 Years) 30 Yrs
Willow Park Specialty Average (17.3 Years) 17.3 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $503.00 $139.58

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA03112

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
196341501 (TX)
Medicaid State Provider ID
196341502 (TX)
Commercial Insurance / Payer ID Bcbs
8F9743 (TX)

Hospital & Practice Group Affiliations

Primary Health Physicians Pllc

7232 N Fwy, Fort Worth, TX 761372481

Phone: 8174398100

Primary Health Physicians Pllc

8450 E Fwy, Fort Worth, TX 761204413

Phone: 8174592005

Primary Health Physicians Pllc

2700 Horne St, Fort Worth, TX 761074604

Phone: 8175707995

Primary Health Physicians Pllc

5653 Mcpherson Blvd, Fort Worth, TX 761236023

Phone: 6823543100

Primary Health Physicians Pllc

7400 Mccart Ave, Fort Worth, TX 761337270

Phone: 8172941651

Primary Health Physicians Pllc

1501 Hwy 287 N, Mansfield, TX 760634855

Phone: 8174538080

Primary Health Physicians Pllc

104 S Main St, Keller, TX 762485003

Phone: 2142959385

Primary Health Physicians Pllc

454 N Jim Wright Fwy, White Settlement, TX 761081437

Phone: 6827034505

Primary Health Physicians Pllc

5001 S Hulen St, Fort Worth, TX 761321968

Phone: 6826101670

Primary Health Physicians Pllc

2310 W University Dr, Denton, TX 762011650

Phone: 9402205901

Primary Health Physicians Pllc

3520 Nw Centre Dr, Fort Worth, TX 761353612

Phone: 8173752100

Primary Health Physicians Pllc

4524 W Bailey Boswell Rd, Fort Worth, TX 761794319

Phone: 8177209685

Primary Health Physicians Pllc

779 Grapevine Hwy, Hurst, TX 760542805

Phone: 8174287300

Secondary Practice Locations

2400 Mall Cir

Fort Worth, TX 761161544

Phone: 8177377000

Practice Associates & Co-Workers

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

6 Associated Practitioners
Michael Meador , PA-C

Physician Assistant

NPI 1033424189

Physician Assistant (Certified)

NPI 1649533944

Doctor of Osteopathic Medicine (D.O.)

NPI 1669676326

Doctor of Medicine (M.D.)

NPI 1861428948

Doctor of Osteopathic Medicine (D.O.)

Kimberly Hilmer , FNP

Nurse Practitioner - Family

NPI 1902021850

Family Nurse Practitioner

Gary Hawkins , PA-C

Physician Assistant - Medical

NPI 1992731079

Physician Assistant (Certified)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location January 28, 2019

Registered at 5700 E I 20 SERVICE RD S, WILLOW PARK, TX 760085115 (Tel: 8174897300)

📍
Updated Business Mailing Address January 28, 2019

Registered at 5700 E I 20 SERVICE RD S, WILLOW PARK, TX 760085115 (Tel: 8177377000)

👤
Provider Name / Credentials Updated January 28, 2019

Recorded as TINA WILKINSON MOORE, PA

NPI Profile Active March 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2017

Registered at 2400 MALL CIR, FORT WORTH, TX 761161544 (Tel: 8177377000)

📍
Updated Business Mailing Address March 23, 2017

Registered at 2400 MALL CIR, FORT WORTH, TX 761161544 (Tel: 8177377000)

👤
Provider Name / Credentials Updated March 23, 2017

Recorded as TINA MOORE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2017

Physician Assistant (License #PA03112 in TX)

NPI Profile Active August 17, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2010

Registered at 6825 GREEN OAKS RD, FORT WORTH, TX 761161713 (Tel: 8177377000)

📍
Updated Business Mailing Address August 17, 2010

Registered at 6825 GREEN OAKS RD, FORT WORTH, TX 761161713 (Tel: 8177377000)

👤
Provider Name / Credentials Updated August 17, 2010

Recorded as TINA MOORE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2010

Physician Assistant (License #PA03112 in TX)

🟢
Initial NPI Registration & Enumeration September 15, 2005

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: 1124013198
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2005
Last Update: January 28, 2019
Sole Proprietor: No

Mailing Address

5700 E I 20 Service Rd S

Willow Park, TX 760085115

Phone: 8177377000

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.