DERONNA S MOORE (PA) – Physician Assistant, NPI 1487067534
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for DERONNA S MOORE (PA)
210 E ECONOMY RD
MORRISTOWN, TN 378143756
Phone: (423) 307-1468
Type: Mailing
1497 W Elk Ave Ste 11
Elizabethton, TN 376432896
Phone: (423) 542-8929
Type: Location
4600 Fort Henry Dr
Kingsport, TN 376632617
Phone: (423) 224-3950
Type: Location
115 Judge Gresham Rd Ste A
Gray, TN 376156213
Phone: (423) 467-3000
Type: Location
24530 Falcon Place Blvd Ste 100
Abingdon, VA 242117665
Phone: (276) 619-0075
Type: Location
1220 Volunteer Pkwy
Bristol, TN 376204628
Phone: (423) 274-6610
Type: Location
405 Scenic Dr Ste A
Rogersville, TN 378572441
Phone: (423) 921-3490
Type: Location
438 E Vann Rd Ste 301
Greeneville, TN 377437202
Phone: (423) 636-9828
Type: Location
2686 W State St
Bristol, TN 376201817
Phone: (423) 844-0026
Type: Location
161 Heart Dr Ste A
Johnson City, TN 376042607
Phone: (423) 282-0751
Type: Location
231 S Fairmont Ave
Morristown, TN 378132036
Phone: (423) 839-1600
Type: Location
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 376042192
Phone: (423) 302-6565
Type: Mailing
111 W STONE DR STE 110
KINGSPORT, TN 376606027
Phone: (423) 224-3701
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $240.
Total Amount is formed as General ($240) + Research ($0) + Ownership ($0) = $240.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($72).
Total Amount
$240
General + Research + Ownership
Payments
12
Total payment records
General Amount
$240
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-09-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20141006002347 | I | Physician Assistant | TN | TBD |
| I20240910003017 | I | Physician Assistant | VA | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 380 | 41 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 116 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 70 | 67 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 57 | 57 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 53 | 43 | $0 |
Insurance plans in this area (ZIP 37814)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| - | TN | |
| General Surgery | MD | |
| Pulmonary Disease, Internal Medicine | TN | |
| G A S T R O E N T E R O L O G Y | TN | |
| N E U R O S U R G E R Y | IL | |
| Nurse Practitioner | TN | |
| - | TN | |
| Physician Assistant | KY | |
| Orthopedic Surgery | GA |
Reviews
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