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JONATHAN MOORE
NPI 1396619698
Physician Assistant in Westfield, MA

Active since October 01, 2025PECOS Enrolled
577 WESTERN AVE, WESTFIELD, MA 01085(401) 663-0746 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan Moore NPPES

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

JONATHAN MOORE (NPI 1396619698) is an individual physician assistant in Westfield, Massachusetts and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1396619698
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJONATHAN MOORE
Location Address577 WESTERN AVEWestfield, MA 01085-2580
Mailing Address577 Western AveWestfield, MA 01085-2580
Phone(401) 663-0746
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1396619698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
577 WESTERN AVE, Westfield, MA 01085
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961977541
PECOS Enrollment IDI20260410003345
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 01085 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

MS. KATHERINE ANNE SYLVAIN ATC, LAT
Specialist/Technologist (Athletic Trainer)
577 WESTERN AVE
WESTFIELD, MA 01085
Hampden County (413) 572-8270
JEHAN TAVARES-MATHURIN PA-S
Student in an Organized Health Care Education/Training Program
577 WESTERN AVE
WESTFIELD, MA 01085
Hampden County (413) 572-8149
HELEN CHOW PA-C
Physician Assistant
577 WESTERN AVE
WESTFIELD, MA 01085
Hampden County (413) 572-8149
ELISHA R CRUMP
Physical Therapist (Sports)
577 WESTERN AVE
WESTFIELD, MA 01085
Hampden County (413) 813-5315
RYAN JOSEPH RICH
Student in an Organized Health Care Education/Training Program
577 WESTERN AVE
WESTFIELD, MA 01085
Hampden County (413) 572-5300
CASSIE LAUREN-LEE ZOLDAK
Specialist/Technologist (Athletic Trainer)
577 WESTERN AVE
WESTFIELD, MA 01085
Hampden County (978) 503-8234
GHADEER Z MAZLOUM PA-C
Physician Assistant
577 WESTERN AVE
WESTFIELD, MA 01085
Hampden County (413) 572-5673
JODI ELLEN CABRAL RN
Registered Nurse
577 WESTERN AVE
WESTFIELD, MA 01085
Hampden County (413) 572-8441

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 Jonathan Moore's NPI number?

The NPI number for Jonathan Moore is 1396619698. It was assigned to this individual provider in the NPPES registry on October 1, 2025.

Where is Jonathan Moore located?

Jonathan Moore practices at 577 Western Ave, Westfield, MA 01085. The listed phone number is (401) 663-0746.

What is Jonathan Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jonathan Moore enrolled in Medicare?

Yes. Jonathan Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Moore was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.