1. Home
  2. Directory
  3. New York
  4. Hogansburg
  5. Physician Assistant
  6. NPI Profile

ALYSSA N MOORE PA-C
NPI 1093127615
Physician Assistant in Hogansburg, NY

Active since June 02, 2014PECOS EnrolledAccepts Medicare Assignment
412 STATE ROUTE 37, HOGANSBURG, NY 13655(518) 358-3141 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alyssa N Moore Pa-c NPPES

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

ALYSSA N MOORE PA-C (NPI 1093127615) is an individual physician assistant in Hogansburg, New York, licensed in New York (017600) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1093127615
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALYSSA N MOORECredential: PA-C
Location Address412 STATE ROUTE 37Hogansburg, NY 13655-3109
Mailing Address4 Hamilton St, Apt 3Potsdam, NY 13676-2049 · (518) 669-2969
Phone(518) 358-3141
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 2, 2014
Last NPPES UpdateJune 19, 2014
✔ NPI 1093127615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NY · 017600✔ Licensed in NY · P92874
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.
412 STATE ROUTE 37, Hogansburg, NY 13655
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

Alyssa N 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 ID6800112194
PECOS Enrollment IDI20150304000698
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
86 services71 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
59 services51 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
54 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services46 patients
Thyroxine (thyroid chemical), free 84439
The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.
47 services38 patients
Vitamin d-3 level 82306
A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.
44 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Gouverneur Hospital

Critical Access Hospitals · Gouverneur, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331315
Location77 West Barney StreetGouverneur, NY 13642 · St. Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13655 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers13 claims13 services$102.60 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers12 claims27 services$43.15 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers13 claims13 services$21.43 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers17 claims17 services$21.74 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers14 claims84 services$2.86 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers16 claims16 services$71.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DEBORAH A FENT RDH
Dental Hygienist
412 STATE ROUTE 37
AKWESASNE, NY 13655
Franklin County (518) 358-3141
MR. ZACHARY JOSEPH SMITH PA
Physician Assistant
412 STATE ROUTE 37
AKWESASNE, NY 13655
Franklin County (518) 358-3141
MISS ANITA M. PLANN MPC
Counselor (Mental Health)
412 STATE ROUTE 37
AKWESASNE, NY 13655
Franklin County (518) 358-3141
DR. JOSEPH S PARK DDS
Dentist
412 STATE ROUTE 37
HOGANSBURG, NY 13655
Franklin County (518) 358-3141
ST REGIS MOHAWK TRIBE
Clinic/Center (Federally Qualified Health Center (FQHC))
412 STATE ROUTE 37
AKWESASNE, NY 13655
Franklin County (518) 358-3141
DR. BENSON J KELLY MD
Family Medicine
412 STATE ROUTE 37
AKWESASNE, NY 13655
Franklin County (518) 358-3141
DR. WILLIAM R LATREILLE JR. M.D.
Internal Medicine
412 STATE ROUTE 37
HOGANSBURG, NY 13655
Franklin County (518) 358-3141
THOMAS ALBERT SAXBY
Pharmacist
412 STATE ROUTE 37
AKWESASNE, NY 13655
Franklin County (518) 358-3141

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 Alyssa Moore's NPI number?

The NPI number for Alyssa Moore is 1093127615. It was assigned to this individual provider in the NPPES registry on June 2, 2014.

Where is Alyssa Moore located?

Alyssa Moore practices at 412 State Route 37, Hogansburg, NY 13655. The listed phone number is (518) 358-3141.

What is Alyssa Moore's specialty?

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

Is Alyssa Moore enrolled in Medicare?

Yes. Alyssa Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Alyssa Moore affiliated with any hospitals?

According to CMS data, Alyssa Moore is affiliated with Canton-Potsdam Hospital and Gouverneur Hospital.

When was this NPI record last updated?

The NPPES record for Alyssa Moore was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.