STEPHANIE T MOORE PA-C
NPI 1356082390
Physician Assistant in Nicholasville, KY

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
80.89/100
CMS Quality Rating
110 VILLAGE PKWY, NICHOLASVILLE, KY 40356(859) 887-8400(859) 885-8448 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 4, 2026, Jan 3, 2023, Sep 19, 2022 and 2 more (5 updates tracked since 2022).

About Stephanie T Moore Pa-c NPPES

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

STEPHANIE T MOORE PA-C (NPI 1356082390) is an individual physician assistant in Nicholasville, Kentucky, licensed in Kentucky (PA3105) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1356082390
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHANIE T MOORECredential: PA-C
Location Address110 VILLAGE PKWYNicholasville, KY 40356-2327
Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 258-6203
Fax(859) 885-8448
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateFebruary 4, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1356082390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KY · PA3105
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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA3105 (KY)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA3105 (KY)
110 VILLAGE PKWY, Nicholasville, KY 40356

Secondary Practice Location 1

Location 1245 Fountain Ct Ste 120Lexington, KY 40509-2792 · Phone (859) 218-2626

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

Stephanie T 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 ID9436535333
PECOS Enrollment IDI20220929002778
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
212 services160 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
80 services73 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
56 services56 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
26 services22 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
25 services24 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180010
LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County
Emergency services

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40356 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

80.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.29
Promoting Interoperability100
Improvement Activities40
Cost74

Other Providers at the Same Location NPPES 16

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

Family Medicine
110 VILLAGE PKWY
NICHOLASVILLE, KY 40356
Family Medicine
110 VILLAGE PKWY
NICHOLASVILLE, KY 40356
Family Medicine
110 VILLAGE PKWY
NICHOLASVILLE, KY 40356
Family Medicine
110 VILLAGE PKWY
NICHOLASVILLE, KY 40356
Family Medicine
110 VILLAGE PKWY
NICHOLASVILLE, KY 40356
Family Medicine
110 VILLAGE PKWY
NICHOLASVILLE, KY 40356
Nurse Practitioner (Family)
110 VILLAGE PKWY
NICHOLASVILLE, KY 40356
Nurse Practitioner
110 VILLAGE PKWY
NICHOLASVILLE, KY 40356

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356082390, enumerated as an "individual" on April 05, 2022.

The provider is located at 110 VILLAGE PKWY NICHOLASVILLE, KY 40356 and the phone number is (859) 887-8400.

Physician Assistant with taxonomy code 363A00000X.

Stephanie Moore is affiliated with: SAINT JOSEPH HOSPITAL and UNIVERSITY OF KENTUCKY HOSPITAL.