AMANDA MOORE (PA) – Medical Physician Assistant, NPI 1528291549
Medical Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
Provider Addresses for AMANDA MOORE (PA)
2020 N WALDRON ST STE 105
HUTCHINSON, KS 675021145
Phone: (620) 513-4870
Type: Mailing
North Waldron Street, Hutchinson, Reno County, Kansas, 67504, United States
HUTCHINSON, KS 675021131
Phone: (620) 669-2500
Fax: (620) 694-4172
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $775.
Total Amount is formed as General ($775) + Research ($0) + Ownership ($0) = $775.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($540).
Total Amount
$775
General + Research + Ownership
Payments
14
Total payment records
General Amount
$775
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $540 |
| Astellas Pharma US Inc | $55 |
| 180 Medical, Inc. | $52 |
| ABBVIE INC. | $42 |
| ConvaTec Inc. | $42 |
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: 2010-06-08
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 |
|---|---|---|---|---|
| I20100608000644 | I | Physician Assistant | KS | 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 |
|---|---|---|---|---|
| 51798 | Ultrasound measurement of bladder capacity after voiding | 185 | 146 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 141 | 112 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 140 | 112 | $0 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 112 | 16 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 94 | 94 | $0 |
Insurance plans in this area (ZIP 67502)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | KS | |
| Family Practice | KS | |
| Internal Medicine, Hospitalist | KS | |
| Hospitalist, Internal Medicine | KS | |
| H O S P I T A L I S T | KS | |
| U R O L O G Y | KS | |
| Nurse Practitioner | KS | |
| Emergency Medicine | TX | |
| Nurse Practitioner | KS | |
| Physician Assistant | SC |
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