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DEBORA MARIE MOORE PA C
NPI 1992798706
Physician Assistant - Medical in Santa Maria, CA

Active since August 26, 2005PECOS Enrolled
116 S PALISADE DR STE 210, SANTA MARIA, CA 93454(805) 934-2488(805) 934-2480 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2023, Nov 8, 2016 (2 updates tracked since 2016).

About Debora Marie Moore Pa C NPPES

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

DEBORA MARIE MOORE PA C (NPI 1992798706) is an individual medical provider in Santa Maria, California, licensed in California (PA53892) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992798706
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDEBORA MARIE MOORECredential: PA C
Location Address116 S PALISADE DR STE 210Santa Maria, CA 93454-8906
Mailing Address116 S Palisade Dr Ste 210Santa Maria, CA 93454-8906 · (805) 934-2488 · Fax (805) 934-2480
Phone(805) 934-2488
Fax(805) 934-2480
Sole ProprietorNo
Enumeration DateAugust 26, 2005
Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1992798706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in CA · PA53892✔ Licensed in NC · 101190
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA.966 (AL)
116 S PALISADE DR STE 210, Santa Maria, CA 93454
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Other Names 1

Former Name (1)Debora Moellenberndt Pa

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Debora Marie 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers16 claims32 services$5.19 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier16 claims16 services$763.85 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers13 claims750 services$0.75 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers18 claims18 services$20.27 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 4

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

DR. THOMAS M. DAWES JR. MD
Family Medicine
116 S PALISADE DR STE 210
SANTA MARIA, CA 93454
Santa Barbara County (805) 934-2488
TIFFANY M QUINN AGPCNP
Nurse Practitioner (Adult Health)
116 S PALISADE DR STE 210
SANTA MARIA, CA 93454
Santa Barbara County (805) 934-2488
PJ BENIPAL MD INC
Internal Medicine (Gastroenterology)
116 S PALISADE DR STE 210
SANTA MARIA, CA 93454
Santa Barbara County (805) 347-7355
THOMAS M DAWES JR MD A MEDICAL CORPORATION
Family Medicine
116 S PALISADE DR STE 210
SANTA MARIA, CA 93454
Santa Barbara County (825) 934-2488

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 Debora Moore's NPI number?

The NPI number for Debora Moore is 1992798706. It was assigned to this individual provider in the NPPES registry on August 26, 2005. The provider is also known as Debora Moellenberndt PA.

Where is Debora Moore located?

Debora Moore practices at 116 S Palisade Dr Ste 210, Santa Maria, CA 93454. The listed phone number is (805) 934-2488.

What is Debora Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Debora Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Debora Moore was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.