ROGER L. MOORE PA
NPI 1295793099
Physician Assistant in Tulsa, OK
About Roger L. Moore Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROGER L. MOORE PA (NPI 1295793099) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (1378) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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
Roger L. Moore 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.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74129 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.
TULSA, OK 74129
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 Roger Moore's NPI number?
The NPI number for Roger Moore is 1295793099. It was assigned to this individual provider in the NPPES registry on May 2, 2006.
Where is Roger Moore located?
Roger Moore practices at 2929 S Garnett Rd C/O Medcenter, Tulsa, OK 74129. The listed phone number is (918) 665-1520.
What is Roger Moore's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Roger Moore enrolled in Medicare?
Yes. Roger 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 Roger Moore accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Roger 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 Roger Moore was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Roger L. Moore, PA · NPI 1295793099
Physician Assistant physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since May 2, 2006.
## Identity
- **NPI:** 1295793099 (Entity type: Individual)
- **Enumerated:** May 2, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 1378 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 2929 S GARNETT RD, C/O MEDCENTER, Tulsa, OK 74129-5101
- **Phone:** (918) 665-1520 · **Fax:** (405) 749-4561
## 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 2004
## Record status
- **NPPES last updated:** May 1, 2008
- **Other identifiers:** Medicare PIN 244506701 (OK); Medicare UPIN Q37389 (OK); Medicaid 200050070A (OK); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1295793099) · Data from the CMS NPPES public registry.