BRANDON MICHAEL MOORE
NPI 1316762784
Physician Assistant in Rochester, NY

Q: What is Brandon Moore's NPI number?

The NPI number for Brandon Moore is 1316762784. It was assigned to this individual provider in the NPPES registry on November 20, 2024.

Q: What is Brandon Moore'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 Brandon Moore was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since November 20, 2024PECOS EnrolledAccepts Medicare Assignment

2619 CULVER RD STE 2A, ROCHESTER, NY 14609(585) 342-2410 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, Nov 20, 2024 (2 updates tracked since 2024).

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About Brandon Michael Moore NPPES

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

BRANDON MICHAEL MOORE (NPI 1316762784) is an individual physician assistant in Rochester, New York, licensed in New York (033828) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains a secondary practice location in Ithaca.

NPPES Registry Identity

NPI1316762784

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBRANDON MICHAEL MOORE

Location Address2619 CULVER RD STE 2ARochester, NY 14609-1738

Mailing Address100 Kings Hwy SRochester, NY 14617-5504

Phone(585) 342-2410

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 20, 2024

Last NPPES UpdateJune 11, 20252 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1316762784 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 · 033828

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.

2619 CULVER RD STE 2A, Rochester, NY 14609

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Secondary Practice Location 1

Location 1953 Danby RdIthaca, NY 14850-7002 · Phone (607) 274-3011

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

Brandon Michael 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 ID1658883640

PECOS Enrollment IDI20250625001602

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rochester General Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330125

Location1425 Portland AvenueRochester, NY 14621 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14609 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 7

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

EVAN MARK MILLER MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)