GEORGE C MOORE PA-C
NPI 1104990654
Physician Assistant in Minneapolis, MN

Active since November 17, 2006PECOS Enrolled
91.42/100
CMS Quality Rating
701 PARK AVE # 08, MINNEAPOLIS, MN 55415(612) 873-2212 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About George C Moore Pa-c NPPES

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

GEORGE C MOORE PA-C (NPI 1104990654) is an individual physician assistant in Minneapolis, Minnesota, licensed in Minnesota (10165) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104990654
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGEORGE C MOORECredential: PA-C
Location Address701 PARK AVE # 08Minneapolis, MN 55415-1623
Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 873-3000
Sole ProprietorNo
Enumeration DateNovember 17, 2006
Last NPPES UpdateOctober 16, 2023
NPPES CertifiedOctober 16, 2023
NPI 1104990654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 10165
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.

701 PARK AVE # 08, Minneapolis, MN 55415

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

George C Moore Pa-c 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
237 services115 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
185 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55415 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

91.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.78
Promoting Interoperability100
Improvement Activities40
Cost62.8

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104990654, enumerated as an "individual" on November 17, 2006.

The provider is located at 701 PARK AVE # 08 MINNEAPOLIS, MN 55415 and the phone number is (612) 873-2212.

Physician Assistant with taxonomy code 363A00000X.