JOHN R MOORE (P.A.) – Physician Assistant, NPI 1417126145
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JOHN R MOORE (P.A.)
Jack in the Box, South Post Oak Road, Houston, Fort Bend County, Texas, 77053, United States
HOUSTON, TX 772161088
Phone: (713) 500-3500
Type: Mailing
Memorial Hermann-Texas Medical Center, 6411, Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
HOUSTON, TX 770301501
Phone: (713) 704-4000
Type: Location
6411 Fannin St
Houston, TX 770301501
Phone: (713) 704-4000
Type: Location
1421 S POTOMAC ST STE 330
AURORA, CO 800124512
Phone: (303) 953-2920
Fax: (303) 997-5225
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2023-03-20 • Largest payer in this snapshot: Kowa Pharmaceuticals America, Inc. ($56).
Total Amount
$56
General + Research + Ownership
Payments
4
Total payment records
General Amount
$56
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kowa Pharmaceuticals America, Inc. | $56 |
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: 2020-08-04
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 |
|---|---|---|---|---|
| I20200804001470 | I | Physician Assistant | CO | 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 | 170 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 74 | 71 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 52 | 52 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 50 | 25 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 40 | 31 | $0 |
Insurance plans in this area (ZIP 77216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Physician Assistant | VT | |
| Physician Assistant | TN | |
| Physician Assistant | CO | |
| Physician Assistant | TN | |
| Physician Assistant | CO | |
| Physician Assistant | TN | |
| Nurse Practitioner | WY | |
| Physician Assistant | TX | |
| Emergency Medicine | CO |
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