MR. TIMOTHY DAVID MOORE PA
NPI 1679513071
Physician Assistant - Surgical in Houston, TX

Q: What is Timothy Moore's NPI number?

The NPI number for Timothy Moore is 1679513071. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Timothy 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 Timothy Moore was last updated on May 10, 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.

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment

10425 HUFFMEISTER ROAD SUITE 320, HOUSTON, TX 77065(281) 955-2650(281) 955-5875 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2022, Oct 20, 2021 (2 updates tracked since 2021).

On this page

About Mr. Timothy David Moore Pa NPPES

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

MR. TIMOTHY DAVID MOORE PA (NPI 1679513071) is an individual surgical provider in Houston, Texas, licensed in Texas (PA01427) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Kingwood, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1679513071

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. TIMOTHY DAVID MOORECredential: PA

Location Address10425 HUFFMEISTER ROAD SUITE 320Houston, TX 77065

Mailing Address11800 Fm 1960 Rd WHouston, TX 77065-3840 · (281) 955-7577 · Fax (281) 955-5875

Phone(281) 955-2650

Fax(281) 955-5875

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateJune 7, 2006

Last NPPES UpdateMay 10, 20222 updates tracked since enumeration

NPPES CertifiedMay 10, 2022

✔ NPI 1679513071 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 TX · PA01427

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA01427 (TX)

10425 HUFFMEISTER ROAD SUITE 320, Houston, TX 77065

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Secondary Practice Location 1

Location 122485 Tomball Pkwy Ste 2100Houston, TX 77070-1560 · Phone (281) 955-2650

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Mr. Timothy David 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 ID9436105947

PECOS Enrollment IDI20050329000097

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 9

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.

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

69 services34 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

28 services28 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc 22552

This is a surgical procedure where the upper spine bones are joined together after removing a disc. This helps to relieve pressure on the spinal cord or nerves. If more discs need to be removed, the same process is repeated for each additional disc.

25 services13 patients

Fusion of lower spine bone through abdomen with partial removal of disc 22558

This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.

20 services20 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

19 services19 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

19 services12 patients

Hospital Affiliations CMS Care Compare

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

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450775

Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County

Emergency services Birthing friendly

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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

88%34 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%52 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

STEPHEN LEE MILLER MSN, APRN, AGACNP-BC

Nurse Practitioner (Acute Care)