SUMMER MATYOK MOORE FNP-C
NPI 1609507391
Nurse Practitioner - Family in Vidalia, GA

Active since June 22, 2022PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1 MEADOWS PKWY, VIDALIA, GA 30474(912) 535-5555 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Summer Matyok Moore Fnp-c NPPES

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

SUMMER MATYOK MOORE FNP-C (NPI 1609507391) is an individual family provider in Vidalia, Georgia, licensed in Georgia (RN209346) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609507391
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUMMER MATYOK MOORECredential: FNP-C
Location Address1 MEADOWS PKWYVidalia, GA 30474-8759
Mailing Address1 Meadows PkwyVidalia, GA 30474-8759 · (912) 535-5555
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 22, 2022
NPPES CertifiedJune 21, 2022
NPI 1609507391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN209346
1 MEADOWS PKWY, Vidalia, GA 30474

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

Summer Matyok Moore Fnp-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 ID4183008071
PECOS Enrollment IDI20220825003436
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
104 services101 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
86 services84 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30474 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost87.79

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.

Nurse Practitioner
1 MEADOWS PKWY
VIDALIA, GA 30474
Dietitian, Registered
1 MEADOWS PKWY
VIDALIA, GA 30474
Internal Medicine
1 MEADOWS PKWY
VIDALIA, GA 30474
Radiology (Radiation Oncology)
1 MEADOWS PKWY
VIDALIA, GA 30474
Physician Assistant
1 MEADOWS PKWY
VIDALIA, GA 30474
Internal Medicine (Pulmonary Disease)
1 MEADOWS PKWY
VIDALIA, GA 30474
Anesthesiology
1 MEADOWS PKWY
VIDALIA, GA 30474
Internal Medicine
1 MEADOWS PKWY
VIDALIA, GA 30474

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 Summer Moore's NPI number?

The NPI number for Summer Moore is 1609507391. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Summer Moore located?

Summer Moore practices at 1 Meadows Pkwy, Vidalia, GA 30474. The listed phone number is (912) 535-5555.

What is Summer Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Summer Moore enrolled in Medicare?

Yes. Summer Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Summer Moore accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Summer Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Summer Moore was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.