MR. MATTHEW HENRY MOORE (PA-C) – Physician Assistant, NPI 1700053394
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for MR. MATTHEW HENRY MOORE (PA-C)
111 S TREATY RD
MIAMI, OK 74354
Phone: (918) 540-1511
Fax: (918) 542-7374
Type: Location
21 W Central Ave
Miami, OK 743546815
Phone: (918) 542-3900
Fax: (918) 542-3928
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $644.
Total Amount is formed as General ($644) + Research ($0) + Ownership ($0) = $644.
Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Alkermes, Inc. ($153).
Total Amount
$644
General + Research + Ownership
Payments
30
Total payment records
General Amount
$644
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $153 |
| Janssen Pharmaceuticals, Inc | $101 |
| Axsome Therapeutics, Inc. | $100 |
| Teva Pharmaceuticals USA, Inc. | $92 |
| Lundbeck LLC | $72 |
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: 2024-04-05
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 |
|---|---|---|---|---|
| I20240405000867 | I | Physician Assistant | TX | 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 | 155 | 102 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 30 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 74354)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Mental Health Counselor | OK | |
| General Practice | MO | |
| Clinical Social Worker | OK | |
| Family Practice | MO | |
| - | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | OK | |
| - | OK |
Reviews
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