Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANTHONY ALLEN MOORE PA
NPI 1497901029
Physician Assistant - Surgical in Orlando, FL

Q: What is Anthony Moore's NPI number?

The NPI number for Anthony Moore is 1497901029. It was assigned to this individual provider in the NPPES registry on August 14, 2008.

Q: What is Anthony Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Moore was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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 August 14, 2008PECOS Enrolled

4215 EDGEWATER DR, ORLANDO, FL 32804(855) 582-7747(888) 972-4761 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2026, Jul 21, 2022, Aug 7, 2017 (3 updates tracked since 2017).

On this page

About Anthony Allen Moore Pa NPPES

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

ANTHONY ALLEN MOORE PA (NPI 1497901029) is an individual surgical provider in Orlando, Florida, licensed in Florida (PA9104697) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1497901029

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameANTHONY ALLEN MOORECredential: PA

Location Address4215 EDGEWATER DROrlando, FL 32804-2206

Mailing Address695 Us Highway 46 Ste 400aFairfield, NJ 07004-1568 · (973) 894-1265 · Fax (888) 972-6480

Phone(855) 582-7747

Fax(888) 972-4761

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 14, 2008

Last NPPES UpdateJuly 23, 20263 updates tracked since enumeration

NPPES CertifiedJuly 23, 2026

✔ NPI 1497901029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9104697

Also ListedPhysician AssistantTaxonomy 363A00000X · License PAT9104697 (FL)

4215 EDGEWATER DR, Orlando, FL 32804

Open in Google Maps ↗

Secondary Practice Locations 4

Location 1699 W Cocoa Beach Cswy Ste 505Cocoa Beach, FL 32931-3562 · Phone (321) 868-5871 · Fax (321) 868-5852

Location 28725 N Wickham Rd Ste 302Melbourne, FL 32940-2240 · Phone (321) 868-5871 · Fax (321) 868-5852

Location 38745 N Wickham RdMelbourne, FL 32940-5997 · Phone (321) 868-5871 · Fax (321) 868-5852

Location 4701 W Cocoa Beach CswyCocoa Beach, FL 32931-5595 · Phone (321) 868-5871 · Fax (321) 868-5852

Other Identifiers 2

OtherBJ031XFL · Qss Scs Ptan

Medicaid132026300FL

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

Anthony Allen Moore Pa 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 ID5991868242

PECOS Enrollment IDI20090223000154

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 2

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

Partial removal of liver tissue 47100

Partial removal of liver tissue, also known as a hepatectomy, is a procedure where a portion of the liver is surgically removed. It's often done to eliminate diseased sections or tumors. The liver's unique ability to regenerate allows it to function normally even after part of it is removed.

11 services11 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100019

Location1350 S Hickory StMelbourne, FL 32901 · Brevard County

Emergency services Birthing friendly

Sebastian River Medical Center

Acute Care Hospitals · Sebastian, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100217

Location13695 Us Hwy 1Sebastian, FL 32958 · Indian River County

Emergency services

Other Providers at the Same Location NPPES 12

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

MICHAEL EDWARD HAMMOOR PA-C

Physician Assistant (Surgical)