JOHN PATRICK MOORE PA-C
NPI 1265667083
Physician Assistant in Rockford, IL
About John Patrick Moore Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN PATRICK MOORE PA-C (NPI 1265667083) is an individual physician assistant in Rockford, Illinois, licensed in Illinois (085003490) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Elgin, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
John Patrick 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 John Moore's NPI number?
The NPI number for John Moore is 1265667083. It was assigned to this individual provider in the NPPES registry on May 22, 2009.
Where is John Moore located?
John Moore practices at 324 Roxbury Rd, Rockford, IL 61107. The listed phone number is (815) 398-9491.
What is John Moore's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is John Moore enrolled in Medicare?
Yes. John 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.
When was this NPI record last updated?
The NPPES record for John Moore was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.
# John Patrick Moore, PA-C · NPI 1265667083
Physician Assistant physician in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since May 22, 2009.
## Identity
- **NPI:** 1265667083 (Entity type: Individual)
- **Enumerated:** May 22, 2009
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 085003490 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 324 ROXBURY RD, Rockford, IL 61107-5090
- **Phone:** (815) 398-9491 · **Fax:** (815) 381-7498
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** June 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265667083) · Data from the CMS NPPES public registry.