MR. MICHAEL THOMAS MOORE PA-C
NPI 1346699956
Physician Assistant in Detroit, MI

Q: What is Michael Moore's NPI number?

The NPI number for Michael Moore is 1346699956. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Q: What is Michael 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 Michael Moore was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment

22101 MOROSS RD, DETROIT, MI 48236(313) 343-4000 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: May 12, 2023, Sep 16, 2019 (2 updates tracked since 2019).

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About Mr. Michael Thomas Moore Pa-c NPPES

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

MR. MICHAEL THOMAS MOORE PA-C (NPI 1346699956) is an individual physician assistant in Detroit, Michigan, licensed in Indiana (10002655A) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2016).

NPPES Registry Identity

NPI1346699956

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. MICHAEL THOMAS MOORECredential: PA-C

Location Address22101 MOROSS RDDetroit, MI 48236-2148

Mailing Address22101 Moross RdDetroit, MI 48236-2148 · (313) 343-4000

Phone(313) 343-4000

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2016

Enumeration DateJune 6, 2016

Last NPPES UpdateMay 12, 20232 updates tracked since enumeration

NPPES CertifiedMay 12, 2023

✔ NPI 1346699956 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 IN · 10002655A

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.

22101 MOROSS RD, Detroit, MI 48236

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, McLaren Health Plan Community.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

Mr. Michael Thomas 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.

PECOS PAC ID2365772779

PECOS Enrollment IDI20240821003505

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 48236 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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 20

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

MARY DECAROLIS LMSW, ACSW

Social Worker (Clinical)