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VICTORIA SOMERVAIL HOLMES MOORE
NPI 1134978661
Physician Assistant in Matthews, NC

Active since May 16, 2024PECOS EnrolledAccepts Medicare Assignment
3049 SENNA DR, MATTHEWS, NC 28105(336) 467-3337 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Dec 12, 2025, Mar 21, 2025, May 19, 2024 (3 updates tracked since 2024).

About Victoria Somervail Holmes Moore NPPES

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

VICTORIA SOMERVAIL HOLMES MOORE (NPI 1134978661) is an individual physician assistant in Matthews, North Carolina, licensed in North Carolina (0010-15251) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1134978661
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVICTORIA SOMERVAIL HOLMES MOORE
Location Address3049 SENNA DRMatthews, NC 28105-6727
Mailing Address3049 Senna DrMatthews, NC 28105-6727 · (336) 467-3337
Phone(336) 467-3337
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 16, 2024
Last NPPES UpdateDecember 12, 20253 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1134978661 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 NC · 0010-15251
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.
3049 SENNA DR, Matthews, NC 28105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Victoria Somervail Holmes Moore 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 ID5991229494
PECOS Enrollment IDI20250407000639
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 28105 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 3

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

MRS. SUSAN HEATHER JERBY AGNP-C
Nurse Practitioner
3049 SENNA DR
MATTHEWS, NC 28105
Mecklenburg County (980) 339-5155
CAROLINA COLON & RECTAL SPECIALISTS PA
Colon & Rectal Surgery
3049 SENNA DR
MATTHEWS, NC 28105
Mecklenburg County (980) 339-5155
LEGACY HEALTH PA
Clinic/Center (Health Service)
3049 SENNA DR
MATTHEWS, NC 28105
Mecklenburg County (980) 339-5155

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 Victoria Moore's NPI number?

The NPI number for Victoria Moore is 1134978661. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Victoria Moore located?

Victoria Moore practices at 3049 Senna Dr, Matthews, NC 28105. The listed phone number is (336) 467-3337.

What is Victoria Moore's specialty?

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

Is Victoria Moore enrolled in Medicare?

Yes. Victoria 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 Victoria Moore accept?

Health plans from Blue Cross and Blue Shield of NC list Victoria 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 Victoria Moore was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.