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DR. MARTHA JANE MOORE MD-MPH
NPI 1053418921
Family Medicine - Addiction Medicine in Wasilla, AK

Active since September 20, 2006PECOS Enrolled
97.15/100
CMS Quality Rating
3223 E PALMER WASILLA HWY STE 4, WASILLA, AK 99654(907) 631-6300(907) 631-6314 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2024, Nov 20, 2015 (2 updates tracked since 2015).

About Dr. Martha Jane Moore Md-mph NPPES

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

DR. MARTHA JANE MOORE MD-MPH (NPI 1053418921) is an individual addiction medicine provider in Wasilla, Alaska, licensed in Alaska (6678) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053418921
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameDR. MARTHA JANE MOORECredential: MD-MPH
Location Address3223 E PALMER WASILLA HWY STE 4Wasilla, AK 99654-7277
Mailing Address3223 E Palmer Wasilla Hwy Ste 4Wasilla, AK 99654-7277 · (907) 631-6300 · Fax (907) 631-6314
Phone(907) 631-6300
Fax(907) 631-6314
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1053418921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in AK · 6678
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 3944 (AK)
3223 E PALMER WASILLA HWY STE 4, Wasilla, AK 99654
Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. M Jane Moore Md-mph

Other Identifiers 1

MedicaidMD8920AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Martha Jane Moore Md-mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Martha Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southcentral Foundation
Same address
Community/Behavioral Health
3223 E PALMER WASILLA HWY
Wasilla, AK 99654
  • Reassigned Medicare billing, Texas enrollment
  • 459 clinicians in this Medicare group
NPI 1043886369 (907) 729-6300
Alaska Native Tribal Health Consortium
31 mi
General Acute Care Hospital
4315 DIPLOMACY DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Texas enrollment
  • 1,373 clinicians in this Medicare group
NPI 1437189339 (907) 563-2662
Metlakatla Indian Community
783 mi
Health Service
563 BRENDIBLE STREET
Metlakatla, AK 99926
  • Reassigned Medicare billing, Texas enrollment
  • 32 clinicians in this Medicare group
NPI 1740294081 (907) 886-6601

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99654 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
$168.20 typical visit price
range $71.33 – $222.64
Typical copayment $42.05 (range $17.83 – $55.66)
Most-billed visit code 99204
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.69
Promoting Interoperability100
Improvement Activities40
Cost86.57

Other Providers at the Same Location NPPES 9

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

LARRY HOWARD CORRELL
Counselor (Addiction (Substance Use Disorder))
3223 E PALMER WASILLA HWY STE 4
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-6300
AMANDA MAE ROSE LCSW
Social Worker (Clinical)
3223 E PALMER WASILLA HWY STE 4
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-6300
CHRISTINA MCCOY
Counselor (Mental Health)
3223 E PALMER WASILLA HWY STE 4
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-6320
KRISTEN JACKSON BHCM
Community Health Worker
3223 E PALMER WASILLA HWY STE 4
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-6300
JESSICA NYAKO
Community Health Worker
3223 E PALMER WASILLA HWY STE 4
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-6300
TAZZ STUDIE
Community Health Worker
3223 E PALMER WASILLA HWY STE 4
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-6300
SAVANNAH SHANIGAN
Community Health Worker
3223 E PALMER WASILLA HWY STE 4
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 729-6300
SOUTHCENTRALFOUNDATION
Clinic/Center (Multi-Specialty)
3223 E PALMER WASILLA HWY STE 4
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 729-6799

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martha Moore's NPI number?

The NPI number for Martha Moore is 1053418921. It was assigned to this individual provider in the NPPES registry on September 20, 2006. The provider is also known as Dr. M Jane Moore Md-Mph.

Where is Martha Moore located?

Martha Moore practices at 3223 E Palmer Wasilla Hwy Ste 4, Wasilla, AK 99654. The listed phone number is (907) 631-6300.

What is Martha Moore's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Martha Moore enrolled in Medicare?

Yes. Martha Moore is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Martha Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martha Moore reassigns Medicare benefits to 3 organizations: Southcentral Foundation (Wasilla, AK), Alaska Native Tribal Health Consortium (Anchorage, AK) and Metlakatla Indian Community (Metlakatla, AK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martha Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Martha Moore accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Martha Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Martha Moore was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.