DOUGLAS BERNARD MOORE PA-C
NPI 1790853422
Physician Assistant in Tacoma, WA

Q: What is Douglas Moore's NPI number?

The NPI number for Douglas Moore is 1790853422. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Q: What is Douglas 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 Douglas Moore was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 December 01, 2006PECOS EnrolledAccepts Medicare Assignment

1304 FAWCETT AVE, SUITE 100, TACOMA, WA 98402(253) 761-4200(253) 383-3553 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 31, 2017, Feb 2, 2016 (2 updates tracked since 2016).

On this page

About Douglas Bernard Moore Pa-c NPPES

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

DOUGLAS BERNARD MOORE PA-C (NPI 1790853422) is an individual physician assistant in Tacoma, Washington, licensed in Washington (PA10005095) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with St Clare Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1790853422

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameDOUGLAS BERNARD MOORECredential: PA-C

Location Address1304 FAWCETT AVE, SUITE 100Tacoma, WA 98402-1911

Mailing AddressPo Box 1535Tacoma, WA 98401-1535 · (253) 761-4200 · Fax (253) 383-3553

Phone(253) 761-4200

Fax(253) 383-3553

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateDecember 1, 2006

Last NPPES UpdateJanuary 31, 20172 updates tracked since enumeration

✔ NPI 1790853422 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 WA · PA10005095

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 PA10005095 (WA)

1304 FAWCETT AVE, Tacoma, WA 98402

Open in Google Maps ↗

Other Identifiers 9

Other8862654WA · Medicare Pin-union Avenue Open Mri

Other8943157WA · Labor And Industries Crime Victims-tra

Other8951854WA · Labor And Industries Crime Victims-medical Imaging On 1st

Medicare PING8946734WA

Other8862652WA · Medicare Pin-tra Pierce

OtherP00428602WA · Rr Medicare-tra

Other0215666WA · Labor And Industries-tra

Other0249530WA · Labor And Industries-medical Imaging On 1st

Other8862653WA · Medicare Pin-tra King

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

Douglas Bernard 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 ID5294735668

PECOS Enrollment IDI20070109000136

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 12

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.

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

76 services72 patients

Aspiration of fluid from chest cavity using imaging guidance 32555

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

75 services68 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

66 services63 patients

Drainage of fluid from abdominal cavity using imaging guidance 49083

This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.

58 services42 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

47 services35 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.

38 services38 patients

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

32 services32 patients

Insertion of tunneled central venous tube for infusion (5 years or older) 36558

The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.

24 services23 patients

Fine needle aspiration biopsy using ultrasound guidance, first growth 10005

Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.

22 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.

16 services15 patients

Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance 62328

A lower back spinal tap, guided by imaging, is a procedure to collect spinal fluid for testing. A needle is carefully inserted into the lower back to draw out fluid. This can help diagnose various conditions. It's performed under local anesthesia to minimize discomfort.

16 services16 patients

Removal of central venous tube with port or pump 36590

The removal of a central venous tube with port or pump is a procedure that eliminates a device implanted under your skin. This device helped deliver medication or nutrients directly into a large vein near your heart. Its removal involves a minor surgical procedure performed under local anesthesia.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

St Clare Hospital

Acute Care Hospitals · Lakewood, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500021

Location11315 Bridgeport Way S WLakewood, WA 98499 · Pierce County

Emergency services

Multicare Good Samaritan Hospital

Acute Care Hospitals · Puyallup, WA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500079

Location401 15th Avenue SEPuyallup, WA 98372 · Pierce County

Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500108

Location1717 South J StreetTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500129

Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

St Anthony Hospital

Acute Care Hospitals · Gig Harbor, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500151

Location11567 Canterwood Boulevard NWGig Harbor, WA 98332 · Pierce County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98402 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

MICHAEL JON FLAMOE PA-C

Physician Assistant