JACLYN MOORE
NPI 1841719994
Physician Assistant in Boone, NC

Q: What is Jaclyn Moore's NPI number?

The NPI number for Jaclyn Moore is 1841719994. It was assigned to this individual provider in the NPPES registry on September 10, 2017.

Q: What is Jaclyn 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 Jaclyn Moore was last updated on February 19, 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.

Active since September 10, 2017PECOS EnrolledAccepts Medicare Assignment

93.24/100

CMS Quality Rating

870 STATE FARM RD, BOONE, NC 28607(828) 386-2663 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jaclyn Moore NPPES

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

JACLYN MOORE (NPI 1841719994) is an individual physician assistant in Boone, North Carolina, licensed in North Carolina (0010-07537) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Caldwell Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1841719994

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJACLYN MOORE

Location Address870 STATE FARM RDBoone, NC 28607-4861

Mailing Address134 Stag DrBoone, NC 28607-7061

Phone(828) 386-2663

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 10, 2017

Last NPPES UpdateFebruary 19, 2021

NPPES CertifiedFebruary 19, 2021

✔ NPI 1841719994 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 NC · 0010-07537

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.

870 STATE FARM RD, Boone, NC 28607

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Jaclyn 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 ID9436415528

PECOS Enrollment IDI20171106001640

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.

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

190 services133 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

148 services101 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

140 services88 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

126 services49 patients

X-ray for bone length assessment 77073

An X-ray for bone length assessment is a simple, non-invasive imaging test. It helps to evaluate the length of your bones and identify any discrepancies or abnormalities. This procedure is quick, painless, and provides valuable information for your healthcare provider.

110 services104 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

72 services55 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

65 services34 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

39 services19 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

32 services11 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

27 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

16 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Caldwell Memorial Hospital

Acute Care Hospitals · Lenoir, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340041

Location321 Mulberry St SWLenoir, NC 28645 · Caldwell County

Emergency services

Watauga Medical Center

Acute Care Hospitals · Boone, NC

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340051

Location336 Deerfield RoadBoone, NC 28607 · Watauga County

Emergency services Birthing friendly

Charles A Cannon Jr Memorial Hospital

Critical Access Hospitals · Linville, NC

OwnershipVoluntary non-profit - Private

CMS Certification Number341323

Location434 Hospital DriveLinville, NC 28646 · Avery County

Emergency services

Ashe Memorial Hospital

Critical Access Hospitals · Jefferson, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number341325

Location200 Hospital AveJefferson, NC 28640 · Ashe County

Emergency services

Johnson County Community Hospital

Critical Access Hospitals · Mountain City, TN

OwnershipVoluntary non-profit - Private

CMS Certification Number441304

Location1901 S Shady StMountain City, TN 37683 · Johnson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28607 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

93.24/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

83.24

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier31 claims31 services$63.31 avg. paid by Medicare

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

2 suppliers23 claims23 services$65.77 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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS J BOEVE M.D.

Otolaryngology

870 STATE FARM RD
BOONE, NC 28607

Watauga County (828) 264-4545

R R REED D.D.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

870 STATE FARM RD, SUITE 103 B
BOONE, NC 28607

Watauga County (828) 268-9797

DR. CHARLES W FORD JR. M.D.

Otolaryngology

870 STATE FARM RD, SUITE 101
BOONE, NC 28607

Watauga County (828) 264-4545

TUONG CATE TRATE M.D.

Physical Medicine & Rehabilitation

870 STATE FARM RD, SUITE 102
BOONE, NC 28607

Watauga County (828) 264-7760

APPALACHIAN GASTROENTEROLOGY PA

Internal Medicine (Gastroenterology)

870 STATE FARM RD, SUITE 102
BOONE, NC 28607

Watauga County (828) 264-0029

APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC

Orthopaedic Surgery

870 STATE FARM RD, SUITE 100
BOONE, NC 28607

Watauga County (828) 386-2663

DR. ROBERT EDWARD LEE SHIRLEY JR. M.D.

Obstetrics & Gynecology

870 STATE FARM RD, SUITE 100
BOONE, NC 28607

Watauga County (828) 264-5464

APPALACHIAN GASTROENTEROLOGY PA

Clinic/Center (Endoscopy)

870 STATE FARM RD, SUITE 102
BOONE, NC 28607

Watauga County (828) 264-0029

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 Jaclyn Moore's NPI number?

The NPI number for Jaclyn Moore is 1841719994. It was assigned to this individual provider in the NPPES registry on September 10, 2017.

Where is Jaclyn Moore located?

Jaclyn Moore practices at 870 State Farm Rd, Boone, NC 28607. The listed phone number is (828) 386-2663.

What is Jaclyn Moore's specialty?

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

Is Jaclyn Moore enrolled in Medicare?

Yes. Jaclyn 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 Jaclyn Moore accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Jaclyn 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 Jaclyn Moore affiliated with any hospitals?

According to CMS data, Jaclyn Moore is affiliated with Caldwell Memorial Hospital, Watauga Medical Center, Charles A Cannon Jr Memorial Hospital, Ashe Memorial Hospital and Johnson County Community Hospital.

When was this NPI record last updated?

The NPPES record for Jaclyn Moore was last updated on February 19, 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.