ANTHONY MORENO (PA-C) – Medical Physician Assistant, NPI 1356909964

ANTHONY MORENO (PA-C) is a healthcare provider. based in Cocoa beach, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for ANTHONY MORENO (PA-C) is 1356909964

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY MORENO (PA-C)
NPI
1356909964
Phone
Not provided
Address
80 WOODLAND AVE
Enumeration Date
30 May 2019
Last Update Date
30 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3217681600
Graduation Year
2018 (8 years ago)
PAC ID
0840524054
Group Practice PAC ID
1557269982
Professional Enrollment ID
I20190621001328
Address ID
FL329312854CO80XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for ANTHONY MORENO (PA-C)

  • 80, Woodland Avenue, Cocoa Beach, Brevard County, Florida, 32931, United States

    COCOA BEACH, FL 329312854

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $138.

Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Amgen Inc. ($92).

Total Amount

$138

General + Research + Ownership

Payments

6

Total payment records

General Amount

$138

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-06-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190621001328IPhysician AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,020175$0
99212Established patient office or other outpatient visit, 10-19 minutes439291$0
99213Established patient office or other outpatient visit, 20-29 minutes400298$0
17000Destruction of precancer skin growth, 1 growth290225$0
11102Biopsy of related skin growth, first growth230188$0
View full utilization report →

Insurance plans in this area (ZIP 32931)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557269982View full group profile

Reviews

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Frequently asked questions

What is the registry number for ANTHONY MORENO (PA-C)?
The registry entry for ANTHONY MORENO (PA-C) shows NPI 1356909964.
Quick check: is ANTHONY MORENO (PA-C) active?
Public NPPES data shows ANTHONY MORENO (PA-C) with an active NPI status right now.
How should patients interpret ANTHONY MORENO (PA-C)'s specialty?
The extract shows Medical Physician Assistant for ANTHONY MORENO (PA-C). Clinical services aligned with this taxonomy classification.
Is ANTHONY MORENO (PA-C) tied to Cocoa Beach, Florida?
If you are local to Cocoa Beach, Florida, ANTHONY MORENO (PA-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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