GAVEN ANDREW MOORE PA-C
NPI 1023821915
Physician Assistant in Bloomington, IN

Q: What is Gaven Moore's NPI number?

The NPI number for Gaven Moore is 1023821915. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Q: What is Gaven Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Gaven Moore was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 27, 2025PECOS EnrolledAccepts Medicare Assignment

2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408(812) 334-5081 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2025, Aug 14, 2025 (2 updates tracked since 2025).

On this page

About Gaven Andrew Moore Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAVEN ANDREW MOORE PA-C (NPI 1023821915) is an individual physician assistant in Bloomington, Indiana, licensed in Indiana (10004916A) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1023821915

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameGAVEN ANDREW MOORECredential: PA-C

Location Address2651 E DISCOVERY PKWYBloomington, IN 47408-9059

Mailing Address1598 Church Camp RdBedford, IN 47421-7483 · (812) 278-1552

Phone(812) 334-5081

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 27, 2025

Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration

NPPES CertifiedDecember 29, 2025

✔ NPI 1023821915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10004916A

Definition

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 10004916A (IN)

2651 E DISCOVERY PKWY, Bloomington, IN 47408

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gaven Andrew Moore Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608376033

PECOS Enrollment IDI20250821000641

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150051

Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47408 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIERNAN MCCORMICK

Student in an Organized Health Care Education/Training Program