MR. KEVIN MATTHEW MOORE PA-C
NPI 1619673316
Physician Assistant in San Antonio, TX

Active since February 03, 2023PECOS EnrolledAccepts Medicare Assignment
448 CASTROVILLE RD, SAN ANTONIO, TX 78207(210) 434-1400(210) 431-7472 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Kevin Matthew Moore Pa-c NPPES

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

MR. KEVIN MATTHEW MOORE PA-C (NPI 1619673316) is an individual physician assistant in San Antonio, Texas, licensed in Texas (PA16479) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1619673316
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KEVIN MATTHEW MOORECredential: PA-C
Location Address448 CASTROVILLE RDSan Antonio, TX 78207-5147
Mailing Address448 Castroville RdSan Antonio, TX 78207-5147 · (210) 434-1400 · Fax (210) 431-7472
Fax(210) 431-7472
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 3, 2023
NPPES CertifiedFebruary 3, 2023
NPI 1619673316 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 TX · PA16479
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.

448 CASTROVILLE RD, San Antonio, TX 78207

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

Mr. Kevin Matthew 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 ID3971976705
PECOS Enrollment IDI20230227001381
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 78207 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 13

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

Nurse Practitioner (Family)
448 CASTROVILLE RD
SAN ANTONIO, TX 78207
Family Medicine
448 CASTROVILLE RD
SAN ANTONIO, TX 78207
Physician Assistant
448 CASTROVILLE RD
SAN ANTONIO, TX 78207
Nurse Practitioner (Family)
448 CASTROVILLE RD
SAN ANTONIO, TX 78207
Nurse Practitioner (Adult Health)
448 CASTROVILLE RD
SAN ANTONIO, TX 78207
Nurse Practitioner (Acute Care)
448 CASTROVILLE RD
SAN ANTONIO, TX 78207
Physician Assistant
448 CASTROVILLE RD
SAN ANTONIO, TX 78207
Family Medicine
448 CASTROVILLE RD
SAN ANTONIO, TX 78207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619673316, enumerated as an "individual" on February 03, 2023.

The provider is located at 448 CASTROVILLE RD SAN ANTONIO, TX 78207 and the phone number is (210) 434-1400.

Physician Assistant with taxonomy code 363A00000X.