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MARK G. MOORE PA-C
NPI 1861504326
Physician Assistant in Fort Lee, VA

Active since August 31, 2006PECOS Enrolled
700 24TH ST, FORT LEE, VA 23801(804) 734-9867(877) 874-1008 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mark G. Moore Pa-c NPPES

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

MARK G. MOORE PA-C (NPI 1861504326) is an individual physician assistant in Fort Lee, Virginia, licensed in Georgia (3260) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861504326
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK G. MOORECredential: PA-C
Location Address700 24TH STFort Lee, VA 23801-1716
Mailing Address700 24th StFort Lee, VA 23801-1716 · (804) 734-9867 · Fax (877) 874-1008
Phone(804) 734-9867
Fax(877) 874-1008
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 13, 2025
NPPES CertifiedJune 13, 2025
✔ NPI 1861504326 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 GA · 3260
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.
700 24TH ST, Fort Lee, VA 23801
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark G. Moore Pa-c 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 23801 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

CHRISTIN L JESSEN MS, RD, CDCES
Dietitian, Registered
700 24TH ST
FORT GREGG ADAMS, VA 23801
Prince George County (804) 734-9993
MRS. TRACEY N HEMMINGS LCSW
Social Worker (Clinical)
700 24TH ST
FORT LEE, VA 23801
Prince George County (804) 248-5677
BOSCO CHEUNG
Dentist (General Practice)
700 24TH ST
FORT LEE, VA 23801
Prince George County (804) 734-9607
JACOB ANTHONY ORRINO
Nurse Practitioner (Family)
700 24TH ST
FORT LEE, VA 23801
Prince George County (804) 734-9629
MISS MELISSA DESIRAE FUTREAL LCSW
Social Worker (Clinical)
700 24TH ST, BLDG 8130
FORT LEE, VA 23801
Prince George County (804) 734-9287
KENNER ARMY HEALTH CLINIC
Clinic/Center (Military/U.S. Coast Guard Outpatient)
700 24TH ST, BLDG 3219 NCXO TMC
FORT LEE, VA 23801
Prince George County (804) 734-9000
MR. JOE THOMAS MARTY LPN
Licensed Practical Nurse
700 24TH ST
FORT LEE, VA 23801
Prince George County (804) 734-9295
TIFFANY SHEREE SHAW LCMHC,LPC, NCC, LCAS
Counselor (Professional)
700 24TH ST
FORT LEE, VA 23801
Prince George County (804) 734-9623

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 Mark Moore's NPI number?

The NPI number for Mark Moore is 1861504326. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mark Moore located?

Mark Moore practices at 700 24th St, Fort Lee, VA 23801. The listed phone number is (804) 734-9867.

What is Mark Moore's specialty?

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

Is Mark Moore enrolled in Medicare?

Yes. Mark Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Moore was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.