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

Q: What is Kevin Moore's NPI number?

The NPI number for Kevin Moore is 1619673316. It was assigned to this individual provider in the NPPES registry on February 3, 2023.

Q: What is Kevin Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Moore was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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: August 09, 2026.

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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

Phone(210) 434-1400

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

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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 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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

110 services91 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

28 services26 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

14 services14 patients

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 12

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

BRENDA Y LUNA-LOPEZ FNP

Nurse Practitioner (Family)