MR. MATTHEW HENRY MOORE PA-C
NPI 1700053394
Physician Assistant in Miami, OK

Q: What is Matthew Moore's NPI number?

The NPI number for Matthew Moore is 1700053394. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Q: What is Matthew 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 Matthew Moore was last updated on January 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 13, 2008PECOS EnrolledAccepts Medicare Assignment

111 S TREATY RD, MIAMI, OK 74354(918) 540-1511(918) 542-7374 Get Directions Write a Review

NPPES record last updated: January 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2019, Feb 3, 2016 (2 updates tracked since 2016).

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About Mr. Matthew Henry Moore Pa-c NPPES

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

MR. MATTHEW HENRY MOORE PA-C (NPI 1700053394) is an individual physician assistant in Miami, Oklahoma, licensed in Oklahoma (1732) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Integris Miami Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1700053394

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. MATTHEW HENRY MOORECredential: PA-C

Location Address111 S TREATY RDMiami, OK 74354

Mailing Address111 S Treaty RdMiami, OK 74354-5327 · (918) 540-1511 · Fax (918) 542-7374

Phone(918) 540-1511

Fax(918) 542-7374

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMay 13, 2008

Last NPPES UpdateJanuary 7, 20192 updates tracked since enumeration

✔ NPI 1700053394 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 OK · 1732

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.

111 S TREATY RD, Miami, OK 74354

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Other Identifiers 2

Medicaid100736700OOK

Medicaid200207110AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Providence Health Plan and more.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. Matthew Henry 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 ID6901972561

PECOS Enrollment IDI20240405000867

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 8

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.

30 services26 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

17 services16 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

15 services11 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

14 services13 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

14 services14 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Integris Miami Hospital

Acute Care Hospitals · Miami, OK

OwnershipVoluntary non-profit - Other

CMS Certification Number370004

Location200 Second Avenue SouthwestMiami, OK 74355 · Ottawa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74354 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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 20

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

NINA SHORT

Peer Specialist