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SOPHIE MOORE PA-C
NPI 1730900416
Physician Assistant in Lexington, SC

Active since October 24, 2024PECOS EnrolledAccepts Medicare Assignment
104 SALUDA POINTE DR, LEXINGTON, SC 29072(803) 296-7846 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sophie Moore Pa-c NPPES

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

SOPHIE MOORE PA-C (NPI 1730900416) is an individual physician assistant in Lexington, South Carolina, licensed in South Carolina (5600) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1730900416
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSOPHIE MOORECredential: PA-C
Location Address104 SALUDA POINTE DRLexington, SC 29072-7295
Mailing Address300 E Mcbee Ave Ste 300Greenville, SC 29601-2899 · (864) 522-8611
Phone(803) 296-7846
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 24, 2024
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1730900416 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 SC · 5600
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.
104 SALUDA POINTE DR, Lexington, SC 29072
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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

Sophie 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 ID5890216584
PECOS Enrollment IDI20250311001316
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.

Hospital Affiliations CMS Care Compare

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29072 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

THOMAS ALLEN
Specialist/Technologist (Athletic Trainer)
104 SALUDA POINTE DR
LEXINGTON, SC 29072
Lexington County (803) 227-8000
MRS. REBEKAH H GASTON M.E.D, ATC
Specialist/Technologist (Athletic Trainer)
104 SALUDA POINTE DR
LEXINGTON, SC 29072
Lexington County (803) 315-6863
ROBERT INGLE MSED, ATC
Specialist/Technologist (Athletic Trainer)
104 SALUDA POINTE DR
LEXINGTON, SC 29072
Lexington County (803) 227-8159
MICHELLE BENSMAN MATHENY MA, ATC
Specialist/Technologist (Athletic Trainer)
104 SALUDA POINTE DR, MOORE CENTER FOR ORTHOPEDICS
LEXINGTON, SC 29072
Lexington County (803) 227-8155
ANGELA KOKOSKA
Nurse Practitioner (Family)
104 SALUDA POINTE DR
LEXINGTON, SC 29072
Lexington County (803) 296-7846
AMY LYNN KNOGGE ATC
Specialist/Technologist (Athletic Trainer)
104 SALUDA POINTE DR
LEXINGTON, SC 29072
Lexington County (803) 227-8120
MAYA NASSIM BOUGEBRAYEL
Physician Assistant
104 SALUDA POINTE DR
LEXINGTON, SC 29072
Lexington County (803) 296-7846
JAMES LUCAS MCFADDEN M.D.
Orthopaedic Surgery (Hand Surgery)
104 SALUDA POINTE DR
LEXINGTON, SC 29072
Lexington County (803) 296-7846

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 Sophie Moore's NPI number?

The NPI number for Sophie Moore is 1730900416. It was assigned to this individual provider in the NPPES registry on October 24, 2024.

Where is Sophie Moore located?

Sophie Moore practices at 104 Saluda Pointe Dr, Lexington, SC 29072. The listed phone number is (803) 296-7846.

What is Sophie Moore's specialty?

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

Is Sophie Moore enrolled in Medicare?

Yes. Sophie 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 Sophie Moore accept?

Health plans from BlueCross BlueShield of South Carolina list Sophie 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 Sophie Moore affiliated with any hospitals?

According to CMS data, Sophie Moore is affiliated with Prisma Health Richland Hospital.

When was this NPI record last updated?

The NPPES record for Sophie Moore was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.