BRYAN RUSSELL MOORE PAA
NPI 1356388433
Physician Assistant in Marietta, GA

Active since May 31, 2006Accepts Medicare Assignment
92.93/100
CMS Quality Rating
2540 WINDY HILL RD SE, MARIETTA, GA 30067(470) 644-1274(470) 644-1119 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bryan Russell Moore Paa NPPES

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

BRYAN RUSSELL MOORE PAA (NPI 1356388433) is an individual physician assistant in Marietta, Georgia, licensed in Georgia (003912) and active in the NPI registry since May 2006. He is affiliated with Wellstar Kennestone Regional Medical Center and is a graduate of Emory University School Of Medicine (2002).

NPPES Registry Identity

NPI1356388433
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRYAN RUSSELL MOORECredential: PAA
Location Address2540 WINDY HILL RD SEMarietta, GA 30067-8605
Mailing Address2540 Windy Hill Rd SeMarietta, GA 30067-8605 · (470) 644-1274 · Fax (470) 644-1119
Fax(470) 644-1119
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 2002
Enumeration DateMay 31, 2006
Last NPPES UpdateOctober 10, 2023
NPPES CertifiedOctober 10, 2023
NPI 1356388433 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 GA · 003912
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.

2540 WINDY HILL RD SE, Marietta, GA 30067

Other Identifiers 3

Medicaid100002267CGA
OtherP00221726GA · Railroad Medicare
Medicaid100002267BGA

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

Bryan Russell Moore Paa 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 ID4880634898
PECOS Enrollment IDI20050510000267

Areas of Expertise CMS Part B claims 2

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.

Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
23 services19 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30067 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

Psychiatry & Neurology (Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Radiology (Diagnostic Radiology)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Radiology (Diagnostic Radiology)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Radiology (Diagnostic Radiology)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Nurse Anesthetist, Certified Registered
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Anesthesiology
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Physical Therapist
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Nurse Practitioner (Psychiatric/Mental Health)
2540 WINDY HILL RD SE
MARIETTA, GA 30067

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356388433, enumerated as an "individual" on May 31, 2006.

The provider is located at 2540 WINDY HILL RD SE MARIETTA, GA 30067 and the phone number is (470) 644-1274.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.

Bryan Moore is affiliated with: WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER.