CHRISTINE M. MOORE (AA) – Anesthesiologist Assistant, NPI 1609102763

CHRISTINE M. MOORE (AA) is a healthcare provider. based in Middleburg heights, Ohio. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials AA. They hold a License No. 67.000159 (OH). The NPI Number for CHRISTINE M. MOORE (AA) is 1609102763

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE M. MOORE (AA)
NPI
1609102763
Phone
(440) 816-6246
Address
18697 BAGLEY RD
Enumeration Date
26 October 2009
Last Update Date
24 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4403238515
Graduation Year
2009 (17 years ago)
PAC ID
1355480096
Group Practice PAC ID
7214902170
Professional Enrollment ID
I20091209000333
Address ID
OH440531611LO3700XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

424 ANESTHESIOLOGY ASSISTANT in OH

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Provider Addresses for CHRISTINE M. MOORE (AA)

  • Southwest General Health Center, 18697, Bagley Road, Middleburg Heights, Cuyahoga County, Ohio, 44130, United States

    MIDDLEBURG HEIGHTS, OH 441303417

    Phone: (440) 816-6246

    Fax: (440) 816-6263

    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 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-06-30 • Largest payer in this snapshot: EAGLE PHARMACEUTICALS, INC. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-30

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: 2009-12-09

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
I20091209000333IAnesthesiology AssistantOHTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope4242$0
00811Anesthesia for other procedure on large bowel using an endoscope4242$0
00813Anesthesia for procedure on small and large bowel using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 44130)

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Provider's Procedures

CHRISTINE M. MOORE (AA) performs procedures in ANESTHESIOLOGY ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGY ASSISTANTOH00142Anesthesia for lens surgery6664

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: 7214902170View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Anesthesiology AssistantFL
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YSHOUF

Reviews

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Frequently asked questions

Can I verify CHRISTINE M. MOORE (AA) with an NPI only?
You can start verification with NPI 1609102763 for CHRISTINE M. MOORE (AA), then check state licensing separately.
Can I rely on CHRISTINE M. MOORE (AA) being an active provider?
As of the registry snapshot, CHRISTINE M. MOORE (AA) is marked active.
What is CHRISTINE M. MOORE (AA)'s primary classification?
Anesthesiologist Assistant is the headline specialty for CHRISTINE M. MOORE (AA) here. Clinical services aligned with this taxonomy classification.
Does CHRISTINE M. MOORE (AA) list a practice location?
Patients near Middleburg Heights, Ohio may find CHRISTINE M. MOORE (AA) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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