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AMY MOAN PA
NPI 1164434494
Physician Assistant in St Petersburg, FL

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
601 7TH ST S STE 510, ST PETERSBURG, FL 33701(727) 828-6330 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Amy Moan Pa NPPES

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

AMY MOAN PA (NPI 1164434494) is an individual physician assistant in St Petersburg, Florida, licensed in Florida (PA9101907) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1164434494
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMY MOANCredential: PA
Location Address601 7TH ST S STE 510St Petersburg, FL 33701-4736
Mailing AddressPo Box 1289Tampa, FL 33601-1289 · (813) 844-7000
Phone(727) 828-6330
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 13, 2006
Last NPPES UpdateJune 5, 2019
✔ NPI 1164434494 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 FL · PA9101907
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.
601 7TH ST S STE 510, St Petersburg, FL 33701
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Other Identifiers 1

Medicaid291237600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.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

Amy Moan Pa 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 ID9234152091
PECOS Enrollment IDI20060106000468
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 33701 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
9%81 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
46%180 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
46%1,071 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
9%81 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%369 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 91% · 135 patients
79%135 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
1 supplier11 claims11 services$3.53 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$4.93 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier13 claims340 services$6.01 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 10

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

DR. SUZANNE MARIE GOZDANOVIC M.D.
Surgery
601 7TH ST S STE 510
ST PETERSBURG, FL 33701
Pinellas County (727) 893-6480
RENEE LAFFERMAN RD, LDN
Dietitian, Registered
601 7TH ST S STE 510
SAINT PETERSBURG, FL 33701
Pinellas County (727) 893-6550
RAMONA NICOLETA ILIE MD
Surgery
601 7TH ST S STE 510
ST PETERSBURG, FL 33701
Pinellas County (727) 893-6480
CARAH HORN MBA-HCA, BSN, RN
Registered Nurse
601 7TH ST S STE 510
ST PETERSBURG, FL 33701
Pinellas County (918) 704-8744
HAROLD MATTHEW COUCH M.D.
Surgery
601 7TH ST S STE 510
ST PETERSBURG, FL 33701
Pinellas County (727) 893-6480
DR. LUIS RENE GEADA M.D.
Surgery
601 7TH ST S STE 510
ST PETERSBURG, FL 33701
Pinellas County (727) 893-6480
KRISTINE MARIE SFERRA APRN
Nurse Practitioner (Adult Health)
601 7TH ST S STE 510
ST PETERSBURG, FL 33701
Pinellas County (727) 893-6370
TAMPA GENERAL MEDICAL GROUP INC
Surgery (Surgical Oncology)
601 7TH ST S STE 510
ST PETERSBURG, FL 33701
Pinellas County (727) 828-6330

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 Amy Moan's NPI number?

The NPI number for Amy Moan is 1164434494. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Amy Moan located?

Amy Moan practices at 601 7th St S Ste 510, St Petersburg, FL 33701. The listed phone number is (727) 828-6330.

What is Amy Moan's specialty?

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

Is Amy Moan enrolled in Medicare?

Yes. Amy Moan 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 Amy Moan accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed and UnitedHealthcare list Amy Moan 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 Amy Moan was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.