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Active NPI 1902154172 Individual Practitioner Male Practitioner

John Michael Moore , NP-C

Nurse Practitioner - Family • Sandy, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

John Moore, NP-C is a certified Nurse Practitioner - Family practicing in Sandy, UT. With approximately 14 years of clinical experience since completing medical education in 2012, John Moore delivers high-quality medical care to the local community at 1403 E SEGO LILY DR STE 100.

John Moore is affiliated with University Of Utah Community Physicians Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, influenza vaccine, quadrivalent derived from recombinant dna. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1403 E Sego Lily Dr Ste 100

Sandy, UT 840924350

Telephone 8012652212
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Sandy, UT

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +6.8 yrs vs City Avg
City Avg: 7.2 Yrs
State Avg: 7.2 Yrs
Regional Practice Density
43 Specialists

Practicing in Sandy, UT (2184 Statewide)

Telehealth Adoption Rate
7.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (14 Years) 14 Yrs
Sandy Specialty Average (7.2 Years) 7.2 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
146 82 $343.92 $105.62
99213 Established patient office or other outpatient visit, typically 15 minutes
75 60 $222.44 $72.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
45 45 $353.00 $109.26

Medical Specialties & State Licenses

CMS Verified: 2024-06-07
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License UT 8205692-4405

Definition to come...

Hospital & Practice Group Affiliations

University Of Utah Community Physicians Group

1525 W 2100, Salt Lake City, UT 841191407

Phone: 8012139900

Practice Associates & Co-Workers

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

10 Associated Practitioners
Alexander Dalley

Physician Assistant

NPI 1174395545
Dr. Mark Johnson , MD

Family Medicine

NPI 1184668659

Doctor of Medicine (M.D.)

Sabrina Steele , PA-C

Physician Assistant - Medical

NPI 1205993607

Physician Assistant (Certified)

Vivian Ward

Nurse Practitioner - Family

NPI 1245969708
David Anderson , PA-C

Physician Assistant

NPI 1356342539

Physician Assistant (Certified)

Tanya Chesley , PA-C

Physician Assistant

NPI 1477541506

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 07, 2024

Registered at 1403 E SEGO LILY DR STE 100, SANDY, UT 840924350 (Tel: 8012652212)

📍
Updated Business Mailing Address June 07, 2024

Registered at PO BOX 35380, LAS VEGAS, NV 891335380 (Tel: 7029547672)

NPI Profile Active August 20, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2012

Registered at 8706 S 700 E STE 203, SANDY, UT 840701809 (Tel: 8015720443)

📍
Updated Business Mailing Address August 20, 2012

Registered at 8706 S 700 E STE 203, SANDY, UT 840701809 (Tel: 8015720443)

👤
Provider Name / Credentials Updated August 20, 2012

Recorded as JOHN MOORE, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2012

Nurse Practitioner (License #8205692-4405 in UT)

🟢
Initial NPI Registration & Enumeration August 20, 2012

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: 1902154172
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2012
Last Update: June 07, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 35380

Las Vegas, NV 891335380

Phone: 7029547672

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.