ANTOINETTE MORAN P.A.
NPI 1114921608
Physician Assistant in Saratoga Springs, NY

Q: What is Antoinette Moran's NPI number?

The NPI number for Antoinette Moran is 1114921608. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Q: What is Antoinette Moran'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 Antoinette Moran was last updated on November 19, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 13, 2005PECOS Enrolled

3044 ROUTE 50, SARATOGA SPRINGS, NY 12866(518) 886-5800(518) 886-5100 Get Directions Write a Review

NPPES record last updated: November 19, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Antoinette Moran P.a. NPPES

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

ANTOINETTE MORAN P.A. (NPI 1114921608) is an individual physician assistant in Saratoga Springs, New York, licensed in New York (004432-1) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114921608

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameANTOINETTE MORANCredential: P.A.

Location Address3044 ROUTE 50Saratoga Springs, NY 12866-2906

Mailing Address3044 Route 50Saratoga Springs, NY 12866-2906 · (518) 886-5800 · Fax (518) 886-5100

Phone(518) 886-5800

Fax(518) 886-5100

Sole ProprietorNo

Enumeration DateJune 13, 2005

Last NPPES UpdateNovember 19, 2010

✔ NPI 1114921608 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 NY · 004432-1

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.

3044 ROUTE 50, Saratoga Springs, NY 12866

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Other Identifiers 2

Medicare UPINR54904

Medicare ID-Type UnspecifiedCC4279

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antoinette Moran P.a. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12866 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.

Other Providers at the Same Location NPPES 16

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

KATHLEEN KONDO F.N.P.

Nurse Practitioner (Family)