Active NPI 1790853422 Individual Practitioner Male Practitioner

Douglas Bernard Moore , PA-C

Physician Assistant • Tacoma, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Douglas Moore, PA-C is a certified Physician Assistant practicing in Tacoma, WA. With approximately 20 years of clinical experience since completing medical education in 2006, Douglas Moore delivers high-quality medical care to the local community at 1304 FAWCETT AVE.

Douglas Moore maintains professional affiliations with Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance, Tra-Minw P S and accepts Medicare assignment.

Frequently performed procedures and clinical services include fluoroscopic guidance for insertion, replacement or removal of central venous access device, aspiration of fluid from chest cavity using imaging guidance, ultrasonic guidance for blood vessel access. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1304 Fawcett Ave
Suite 100

Tacoma, WA 984021911

Telephone 2537614200

Fax 2533833553

Associated Practice Facility / Clinic

🏢 Mobilemammo Nw Facility NPI 1538010020

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tacoma, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +7.2 yrs vs City Avg

City Avg: 12.8 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

328 Specialists

Practicing in Tacoma, WA (3774 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (20 Years) 20 Yrs

Tacoma Specialty Average (12.8 Years) 12.8 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
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	76	72	$62.00	$14.73
32555 Aspiration of fluid from chest cavity using imaging guidance	75	68	$967.00	$88.82
76937 Ultrasonic guidance for blood vessel access	66	63	$48.00	$11.38
49083 Drainage of fluid from abdominal cavity using imaging guidance	58	42	$366.00	$86.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	35	$130.00	$40.95
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	38	38	$42.00	$9.98
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	32	32	$1146.00	$271.86
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	24	23	$887.00	$212.62
10005 Fine needle aspiration of first lesion using ultrasound guidance	22	21	$246.00	$60.27
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	16	15	$330.00	$69.04
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	16	16	$304.00	$70.43
36590 Removal of peripheral venous catheter for infusion	13	13	$645.00	$145.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
32555 Aspiration of fluid from chest cavity using imaging guidance	125	97	$982.47	$90.53
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	101	95	$62.00	$14.62
76937 Ultrasonic guidance for blood vessel access	95	89	$48.00	$11.52
49083 Drainage of fluid from abdominal cavity using imaging guidance	74	45	$366.00	$85.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	44	$130.00	$41.45
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	66	66	$42.00	$10.19
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	44	44	$1146.00	$274.09
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	30	30	$887.00	$215.47
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	23	22	$330.00	$68.15
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	18	18	$304.00	$69.19
10005 Fine needle aspiration of first lesion using ultrasound guidance	18	18	$246.00	$59.41
36590 Removal of peripheral venous catheter for infusion	16	16	$645.00	$158.47
49452 Replacement of stomach-to-small bowel tube using fluoroscopic guidance with contrast	13	12	$472.00	$112.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76937 Ultrasonic guidance for blood vessel access	127	114	$48.00	$11.48
32555 Aspiration of fluid from chest cavity using imaging guidance	122	85	$1045.72	$96.18
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	108	96	$62.00	$15.38
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	74	73	$42.00	$10.42
49083 Drainage of fluid from abdominal cavity using imaging guidance	62	41	$366.00	$88.99
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	50	50	$1145.50	$276.22
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	47	45	$330.00	$70.62
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	33	31	$887.00	$214.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	19	$241.00	$58.20
10005 Fine needle aspiration of first lesion using ultrasound guidance	20	20	$246.00	$60.75
36590 Removal of peripheral venous catheter for infusion	17	17	$644.50	$149.36
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	15	15	$304.00	$71.15
77002 Fluoroscopic guidance for needle placement	13	13	$93.50	$22.34
49450 Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin	11	11	$226.00	$54.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	111	58	$366.00	$89.21
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	107	13	$0.50	$0.12
76937 Ultrasonic guidance for blood vessel access	98	95	$48.00	$11.75
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	90	88	$62.00	$15.76
32555 Aspiration of fluid from chest cavity using imaging guidance	87	76	$999.83	$95.23
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	57	56	$42.00	$10.57
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	38	38	$1145.50	$283.98
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	30	28	$330.00	$71.58
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	29	29	$887.00	$213.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	22	$241.00	$60.57
77002 Fluoroscopic guidance for needle placement	17	17	$93.50	$23.51
49450 Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin	16	15	$226.00	$55.84
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	16	15	$304.00	$75.03
20610 Aspiration and/or injection of fluid from large joint	15	15	$165.87	$40.23
36590 Removal of peripheral venous catheter for infusion	13	13	$644.50	$161.38
36589 Removal of central venous catheter for infusion	12	12	$462.00	$117.61
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	11	11	$287.00	$66.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	102	48	$366.00	$92.97
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	98	93	$62.00	$15.96
76937 Ultrasonic guidance for blood vessel access	96	93	$48.00	$12.36
32555 Aspiration of fluid from chest cavity using imaging guidance	95	83	$976.67	$97.38
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	58	56	$42.00	$10.46
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	35	34	$330.00	$74.01
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	32	32	$1145.50	$286.17
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	31	29	$887.00	$228.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	14	$130.00	$33.56
10005 Fine needle aspiration of first lesion using ultrasound guidance	20	18	$246.00	$62.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	12	$241.00	$61.89
49450 Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin	16	14	$226.00	$54.24
36589 Removal of central venous catheter for infusion	15	15	$462.00	$116.27
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	14	14	$304.00	$77.93
77002 Fluoroscopic guidance for needle placement	14	14	$93.50	$24.09
20610 Aspiration and/or injection of fluid from large joint	12	12	$155.50	$39.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	134	63	$366.00	$94.82
76937 Ultrasonic guidance for blood vessel access	119	112	$48.00	$12.50
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	106	100	$62.00	$16.15
32555 Aspiration of fluid from chest cavity using imaging guidance	97	82	$1026.28	$100.54
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	77	77	$42.00	$10.66
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	52	51	$330.00	$74.45
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	39	39	$887.00	$229.46
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	29	29	$1145.50	$295.86
77003 Fluoroscopic guidance for spine or back muscle injection	28	27	$99.50	$26.24
49450 Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin	19	16	$226.00	$58.44
77002 Fluoroscopic guidance for needle placement	15	15	$93.50	$23.05
62270 Spinal tap for diagnosis	15	15	$263.00	$67.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$130.00	$33.84
36589 Removal of central venous catheter for infusion	14	14	$462.00	$116.22
36590 Removal of peripheral venous catheter for infusion	13	13	$644.50	$166.85
20610 Aspiration and/or injection of fluid from large joint	12	12	$155.50	$37.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	126	64	$357.76	$92.60
76937 Ultrasonic guidance for blood vessel access	118	106	$48.69	$12.32
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	117	102	$61.82	$15.92
32555 Aspiration of fluid from chest cavity using imaging guidance	83	75	$996.20	$97.93
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	64	61	$41.97	$10.78
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	46	45	$346.14	$84.82
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	37	33	$890.34	$227.27
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	23	$1123.28	$293.15
49450 Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin	19	18	$224.63	$56.40
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	19	$108.34	$27.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	15	$130.00	$33.34
77003 Fluoroscopic guidance for spine or back muscle injection	17	17	$98.94	$25.57
36590 Removal of peripheral venous catheter for infusion	17	17	$637.91	$160.83
49452 Replacement of stomach-to-small bowel tube using fluoroscopic guidance with contrast	17	12	$471.79	$120.87
36589 Removal of central venous catheter for infusion	14	14	$452.36	$114.20
36569 Insertion of central venous catheter for infusion, patient 5 years or older	13	13	$297.00	$73.82
62270 Spinal tap for diagnosis	12	12	$277.29	$67.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76937 Ultrasonic guidance for blood vessel access	68	66	$50.00	$12.15
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	66	63	$61.50	$15.98
49083 Drainage of fluid from abdominal cavity using imaging guidance	62	38	$332.50	$90.99
32555 Aspiration of fluid from chest cavity using imaging guidance	62	53	$283.16	$98.15
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	43	43	$40.00	$10.35
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	22	22	$896.50	$224.18
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	21	$1072.50	$287.63
49452 Replacement of stomach-to-small bowel tube using fluoroscopic guidance with contrast	16	12	$476.50	$119.61
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	14	14	$379.50	$102.02
36590 Removal of peripheral venous catheter for infusion	13	13	$616.50	$161.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	12	$119.00	$33.01
36569 Insertion of central venous catheter for infusion, patient 5 years or older	11	11	$307.50	$78.32
77003 Fluoroscopic guidance for spine or back muscle injection	11	11	$90.00	$25.32

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10005095

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License WA PA10005095

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Labor And Industries-Tra

0215666 (WA)

Commercial Insurance / Payer ID Medicare Pin-Tra King

8862653 (WA)

Commercial Insurance / Payer ID Labor And Industries Crime Victims-Tra

8943157 (WA)

Commercial Insurance / Payer ID Rr Medicare-Tra

P00428602 (WA)

Commercial Insurance / Payer ID Medicare Pin-Tra Pierce

8862652 (WA)

Commercial Insurance / Payer ID Medicare Pin-Union Avenue Open Mri

8862654 (WA)

Commercial Insurance / Payer ID Labor And Industries-Medical Imaging On 1st

0249530 (WA)

Commercial Insurance / Payer ID Labor And Industries Crime Victims-Medical Imaging On 1st

8951854 (WA)

Hospital & Practice Group Affiliations

Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance

222 15th Ave Se, Puyallup, WA 983723754

Phone: 2538414353

Tra-Minw P S

407 14th Ave Se, Puyallup, WA 983723770

Phone: 2538414353

Tra-Minw P S

34515 9th Ave S, Federal Way, WA 980036761

Phone: 2538414353

Tra-Minw P S

3402 S 18th St, Tacoma, WA 984051903

Phone: 2538414353

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Jennifer Martin , DO

Radiology - Diagnostic Radiology

NPI 1003295239

Doctor of Osteopathic Medicine (D.O.)

Dr. Jana Fahmy , MD

Radiology - Diagnostic Radiology

NPI 1003989179

Doctor of Medicine (M.D.)

Dr. Scott Henneman , MD

Radiology - Diagnostic Radiology

NPI 1013173814

Doctor of Medicine (M.D.)

Michael Flamoe , PA-C

Physician Assistant

NPI 1013983147

Physician Assistant (Certified)

Joshua Meyer , PA-C

Physician Assistant

NPI 1043304058

Physician Assistant (Certified)

Dr. Peter Ory , MD

Radiology - Diagnostic Radiology

NPI 1053344184

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active January 31, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 31, 2017

Registered at 1304 FAWCETT AVE, SUITE 100, TACOMA, WA 984021911 (Tel: 2537614200)

📍

Updated Business Mailing Address January 31, 2017

Registered at PO BOX 1535, TACOMA, WA 984011535 (Tel: 2537614200)

👤

Provider Name / Credentials Updated January 31, 2017

Recorded as DOUGLAS MOORE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2017

Physician Assistant (License #PA10005095 in WA)

✅

NPI Profile Active February 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 02, 2016

Registered at 1304 FAWCETT AVE, SUITE 100, TACOMA, WA 984021911 (Tel: 2537614200)

📍

Updated Business Mailing Address February 02, 2016

Registered at PO BOX 1535, TACOMA, WA 984011535 (Tel: 2537614200)

👤

Provider Name / Credentials Updated February 02, 2016

Recorded as DOUGLAS MOORE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2016

Physician Assistant (License #PA10005095 in WA)

🟢

Initial NPI Registration & Enumeration December 01, 2006

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: 1790853422

Entity Type:

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

Enumeration Date: December 01, 2006

Last Update: January 31, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1535

Tacoma, WA 984011535

Phone: 2537614200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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