RONALD JASON MOORE (PA-C) – Surgical Physician Assistant, NPI 1316902679
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for RONALD JASON MOORE (PA-C)
3310 Waterman Way
Tavares, FL 327785250
Phone: (352) 343-1216
Fax: (352) 343-1582
Type: Location
700 Doctors Ct
Leesburg, FL 347487314
Phone: (352) 787-9838
Fax: (352) 622-5771
Type: Location
917 SE 9TH AVE
OCALA, FL 344713849
Phone: (352) 598-4469
Type: Mailing
400 CELEBRATION PL
CELEBRATION, FL 347474970
Phone: (352) 598-4469
Type: Location
Waterman Way, Tavares, Lake County, Florida, 32278, United States
TAVARES, FL 327785250
Phone: (352) 343-1216
Fax: (352) 343-1582
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 72 Open Payments records for all available years, with a total value of $14,764.
Total Amount is formed as General ($14,764) + Research ($0) + Ownership ($0) = $14,764.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ATRICURE, INC. ($7,649).
Total Amount
$14,764
General + Research + Ownership
Payments
72
Total payment records
General Amount
$14,764
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $7,649 |
| Edwards Lifesciences Corporation | $6,039 |
| Medtronic, Inc. | $648 |
| Artivion, Inc. | $354 |
| Inari Medical, Inc. | $30 |
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: 2005-01-25
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 |
|---|---|---|---|---|
| I20050125000560 | I | Physician Assistant | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32778)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| N E U R O L O G Y | FL | |
| General Surgery | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | FL | |
| Nurse Practitioner | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| General Surgery | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Physician Assistant | FL |
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