EVAN THOMAS MOORE PA-C
NPI 1629794417
Physician Assistant in Monroeville, PA

Active since October 13, 2022PECOS Enrolled
4075 MONROEVILLE BLVD STE 125, MONROEVILLE, PA 15146(412) 373-1717 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2024, Oct 13, 2022 (2 updates tracked since 2022).

About Evan Thomas Moore Pa-c NPPES

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

EVAN THOMAS MOORE PA-C (NPI 1629794417) is an individual physician assistant in Monroeville, Pennsylvania and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629794417
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEVAN THOMAS MOORECredential: PA-C
Location Address4075 MONROEVILLE BLVD STE 125Monroeville, PA 15146-2526
Mailing Address4200 Boston Ct Apt 105Monroeville, PA 15146-5334 · (740) 278-5489
Sole ProprietorNo
Enumeration DateOctober 13, 2022
Last NPPES UpdateJune 5, 20242 updates tracked since enumeration
NPPES CertifiedAugust 3, 2023
NPI 1629794417 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.

4075 MONROEVILLE BLVD STE 125, Monroeville, PA 15146

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Evan Thomas Moore Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 15146 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 5

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

Nurse Practitioner (Primary Care)
4075 MONROEVILLE BLVD STE 125
MONROEVILLE, PA 15146
Pediatrics
4075 MONROEVILLE BLVD STE 125
MONROEVILLE, PA 15146
Social Worker (Clinical)
4075 MONROEVILLE BLVD STE 125
MONROEVILLE, PA 15146
Dermatology
4075 MONROEVILLE BLVD STE 125
MONROEVILLE, PA 15146
Nurse Practitioner (Pediatrics)
4075 MONROEVILLE BLVD STE 125
MONROEVILLE, PA 15146

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 Evan Moore's NPI number?

The NPI number for Evan Moore is 1629794417. It was assigned to this individual provider in the NPPES registry on October 13, 2022.

Where is Evan Moore located?

Evan Moore practices at 4075 Monroeville Blvd Ste 125, Monroeville, PA 15146. The listed phone number is (412) 373-1717.

What is Evan Moore's specialty?

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

Is Evan Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Evan Moore was last updated on June 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.