ANDREW MARC MOORE
NPI 1710462734
Physician Assistant in Beavercreek, OH

Active since September 25, 2018PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
3535 PENTAGON BLVD, BEAVERCREEK, OH 45431(937) 702-4024(937) 702-4035 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 12, 2021, May 9, 2019, Sep 25, 2018 (3 updates tracked since 2018).

About Andrew Marc Moore NPPES

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

ANDREW MARC MOORE (NPI 1710462734) is an individual physician assistant in Beavercreek, Ohio, licensed in Ohio (50.005821RX) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Greene Memorial, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1710462734
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW MARC MOORE
Location Address3535 PENTAGON BLVDBeavercreek, OH 45431-1705
Mailing Address2105 Sherbrooke LnNashville, TN 37211-7029 · (865) 776-8490
Fax(937) 702-4035
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2018
Enumeration DateSeptember 25, 2018
Last NPPES UpdateJanuary 12, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
NPI 1710462734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 50.005821RX
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 3688 (TN)
3535 PENTAGON BLVD, Beavercreek, OH 45431

Secondary Practice Location 1

Location 12105 Sherbrooke LnNashville, TN 37211-7029 · Phone (865) 776-8490

Accepted 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

Andrew Marc Moore 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 ID4688824683
PECOS Enrollment IDI20190523001276
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Kettering Health Greene Memorial

Acute Care Hospitals · Xenia, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360026
Location1141 North Monroe DriveXenia, OH 45385 · Greene County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45431 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

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.

Nurse Anesthetist, Certified Registered
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Physician Assistant (Medical)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Nurse Anesthetist, Certified Registered
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Obstetrics & Gynecology
3535 PENTAGON BLVD, SUITE 220
BEAVERCREEK, OH 45431
Nurse Practitioner (Gerontology)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Orthopaedic Surgery (Sports Medicine)
3535 PENTAGON BLVD, STE 320
BEAVERCREEK, OH 45431
Nurse Practitioner (Acute Care)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Nurse Practitioner (Acute Care)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431

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 Andrew Moore's NPI number?

The NPI number for Andrew Moore is 1710462734. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Andrew Moore located?

Andrew Moore practices at 3535 Pentagon Blvd, Beavercreek, OH 45431. The listed phone number is (937) 702-4024.

What is Andrew Moore's specialty?

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

Is Andrew Moore enrolled in Medicare?

Yes. Andrew Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrew Moore accept?

Health plans from CareSource, Molina Healthcare, Oscar Health Insurance and UnitedHealthcare list Andrew Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrew Moore affiliated with any hospitals?

According to CMS data, Andrew Moore is affiliated with Kettering Health Greene Memorial and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Moore was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.