MR. TREVOR DEAN MOORE PA
NPI 1801594866
Physician Assistant in Springfield, MO

Q: What is Trevor Moore's NPI number?

The NPI number for Trevor Moore is 1801594866. It was assigned to this individual provider in the NPPES registry on February 20, 2023.

Q: What is Trevor 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 Trevor Moore was last updated on April 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 20, 2023PECOS Enrolled

3801 S NATIONAL AVE, SPRINGFIELD, MO 65807(417) 269-6000 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2026, Dec 22, 2025, Mar 16, 2023 and 1 more (4 updates tracked since 2023).

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About Mr. Trevor Dean Moore Pa NPPES

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

MR. TREVOR DEAN MOORE PA (NPI 1801594866) is an individual physician assistant in Springfield, Missouri, licensed in Missouri (2023006218) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801594866

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. TREVOR DEAN MOORECredential: PA

Location Address3801 S NATIONAL AVESpringfield, MO 65807-5210

Mailing AddressPo Box 802843Kansas City, MO 64180-2843 · (417) 730-6430 · Fax (417) 269-7567

Phone(417) 269-6000

Sole ProprietorNo

Enumeration DateFebruary 20, 2023

Last NPPES UpdateApril 30, 20264 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1801594866 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 MO · 2023006218

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.

3801 S NATIONAL AVE, Springfield, MO 65807

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Secondary Practice Locations 2

Location 11423 N Jefferson AveSpringfield, MO 65802-1917 · Phone (417) 269-9812

Location 2525 Branson Landing BlvdBranson, MO 65616-2052 · Phone (417) 875-2627

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Trevor Dean Moore Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

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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.

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