JOHN WAYNE MOORE (PA-C) – Medical Physician Assistant, NPI 1669552550
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
553 PHYSICIAN ASSISTANT in AK
Provider Addresses for JOHN WAYNE MOORE (PA-C)
1001 E BOGARD RD
WASILLA, AK 996547114
Phone: (907) 373-2225
Fax: (907) 376-9225
Type: Location
Northwind Dental, 3719, East Meridian Loop, Wasilla, Matanuska-Susitna Borough, Alaska, 99654, United States
STE A
WASILLA, AK 996547273
Phone: (907) 352-2883
Fax: (907) 352-2885
Type: Mailing
950, East Bogard Road, Wasilla, Matanuska-Susitna, Alaska, 99654, United States
SUITE 233
WASILLA, AK 996547105
Phone: (907) 352-2883
Fax: (907) 352-2885
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $614.
Total Amount is formed as General ($614) + Research ($0) + Ownership ($0) = $614.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($486).
Total Amount
$614
General + Research + Ownership
Payments
7
Total payment records
General Amount
$614
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $486 |
| GlaxoSmithKline, LLC. | $128 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-05-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040518000573 | I | Physician Assistant | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 21 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 99654)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AK | |
| Family Practice, Obstetrics/Gynecology | AK |
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