DR. JASON L MOORE M.D.
NPI 1720049109
Emergency Medicine in Saint Paul, MN

Q: What is Jason Moore's NPI number?

The NPI number for Jason Moore is 1720049109. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Q: What is Jason Moore's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Moore was last updated on November 16, 2020. 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.

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment

45 10TH ST W, SAINT PAUL, MN 55102(651) 232-3000 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2020, Mar 17, 2018, Jun 1, 2017 and 1 more (4 updates tracked since 2017).

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About Dr. Jason L Moore M.d. NPPES

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

DR. JASON L MOORE M.D. (NPI 1720049109) is an individual emergency medicine provider in Saint Paul, Minnesota, licensed in Iowa (39945) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Mercyone Clinton Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1720049109

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. JASON L MOORECredential: M.D.

Location Address45 10TH ST WSaint Paul, MN 55102-1062

Mailing Address27400 Franklin Rd, #b707Southfield, MI 48034-2358

Phone(651) 232-3000

Sole ProprietorNo

Medical School CMSMedical College Of OhioGraduated 2002

Enumeration DateMarch 28, 2006

Last NPPES UpdateNovember 16, 20204 updates tracked since enumeration

NPPES CertifiedNovember 16, 2020

✔ NPI 1720049109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in IA · 39945✔ Licensed in MI · 4301080458✔ Licensed in MN · 61613

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 4301080458 (MI)

45 10TH ST W, Saint Paul, MN 55102

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Secondary Practice Locations 3

Location 16071 W Outer DrDetroit, MI 48235-2624 · Phone (313) 966-3300

Location 21925 Woodwinds DrWoodbury, MN 55125-4445 · Phone (651) 232-0100

Location 31575 Beam AveMaplewood, MN 55109-1126 · Phone (651) 232-7000

Other Identifiers 4

Medicaid104715823MI

Medicaid104785425MI

OtherJM080458MI · Bc/bs Of Mi

Medicaid104785416MI

Accepted Insurance

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

Dr. Jason L Moore M.d. 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 ID8224077144

PECOS Enrollment IDI20120227000122

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

419 services358 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

115 services100 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

39 services35 patients

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.

29 services29 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

21 services21 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Mercyone Clinton Medical Center

Acute Care Hospitals · Clinton, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160080

Location1410 North 4th StreetClinton, IA 52732 · Clinton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier20 claims20 services$5.19 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

HEALTHEAST ST JOSEPHS HOSPITAL

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