ALYSSA K MOORE PA-C
NPI 1114671765
Physician Assistant in Montgomery, OH

Active since February 11, 2022PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
10500 MONTGOMERY RD, MONTGOMERY, OH 45242(513) 865-5552(513) 865-2227 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 1, 2022, Feb 17, 2022, Feb 11, 2022 (3 updates tracked since 2022).

About Alyssa K Moore Pa-c NPPES

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

ALYSSA K MOORE PA-C (NPI 1114671765) is an individual physician assistant in Montgomery, Ohio, licensed in Ohio (50.007057RX) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1114671765
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALYSSA K MOORECredential: PA-C
Location Address10500 MONTGOMERY RDMontgomery, OH 45242-4402
Mailing Address9166 Porter RdRyland Hght, KY 41015-9587 · (513) 766-2874
Fax(513) 865-2227
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 11, 2022
Last NPPES UpdateMarch 1, 20223 updates tracked since enumeration
NPPES CertifiedMarch 1, 2022
NPI 1114671765 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 OH · 50.007057RX Licensed in OH · 50.0007057
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.

10500 MONTGOMERY RD, Montgomery, OH 45242

Secondary Practice Location 1

Location 1375 Dixmyth AveCincinnati, OH 45220-2475 · Phone (513) 865-2246 · Fax (513) 865-5552

Other Identifiers 1

Medicaid0462231OH

Accepted Insurance

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 K 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 ID1759776644
PECOS Enrollment IDI20220310002323
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
32 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

Hospitalist
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Student in an Organized Health Care Education/Training Program
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Student in an Organized Health Care Education/Training Program
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hospitalist
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Pharmacist
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Internal Medicine
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Internal Medicine (Critical Care Medicine)
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Physician Assistant
10500 MONTGOMERY RD
CINCINNATI, OH 45242

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 1114671765. It was assigned to this individual provider in the NPPES registry on February 11, 2022.

Where is Alyssa Moore located?

Alyssa Moore practices at 10500 Montgomery Rd, Montgomery, OH 45242. The listed phone number is (513) 865-5552.

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.

What insurance does Alyssa Moore accept?

Health plans from CareSource list Alyssa 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.

Is Alyssa Moore affiliated with any hospitals?

According to CMS data, Alyssa Moore is affiliated with Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Alyssa Moore was last updated on March 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.