Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1093758807 Deactivated / Inactive NPI Male Practitioner

David A Moore , PA-C

Physician Assistant • Beckley, WV

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 13, 2006
NPI Deactivation Date March 13, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

David Moore, PA-C was a registered Physician Assistant practicing in Beckley, WV. Throughout an active medical career spanning 19 years, David Moore provided care at the practice location at 306 STANAFORD RD until profile deactivation on 2025-03-13.

Historical Medicare Part B clinical services included established patient outpatient office visit, psychiatric diagnostic evaluation with medical services, testing for presence of drug, read by direct observation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

306 Stanaford Rd

Beckley, WV 258013142

Telephone 3042553304
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Beckley, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.3 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
47 Specialists

Practicing in Beckley, WV (1163 Statewide)

Telehealth Adoption Rate
6.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
208 48 $272.43 $103.29
90792 Psychiatric diagnostic evaluation with medical services
20 20 $305.80 $155.67

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WV 877

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Lisa Murphy , PA-C

Physician Assistant

NPI 1851364343

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated March 13, 2025

Record deactivated on March 13, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 306 STANAFORD RD, BECKLEY, WV 258013142 (Tel: 3042553304)

📍
Updated Business Mailing Address July 08, 2007

Registered at 185 KEVIN RIDGE DR, BECKLEY, WV 258012197

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID MOORE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #877 in WV)

🟢
Initial NPI Registration & Enumeration June 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for David Moore. Be the first to share your experience!

Sign in to leave a review for David Moore

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1093758807
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2006
Last Update: July 08, 2007
Deactivation Date: March 13, 2025

Mailing Address

185 Kevin Ridge Dr

Beckley, WV 258012197

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.