ABBY MOORE (PA) – Physician Assistant, NPI 1275909269

ABBY MOORE (PA) is a healthcare provider. based in South jordan, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PAT9108867 (FL). The NPI Number for ABBY MOORE (PA) is 1275909269

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ABBY MOORE (PA)
NPI
1275909269
Phone
(801) 784-0954
Address
PO BOX 95590
Enumeration Date
13 August 2015
Last Update Date
28 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8509833528102
Graduation Year
2015 (11 years ago)
PAC ID
6103135850
Group Practice PAC ID
7719293539
Professional Enrollment ID
I20151020000273
Address ID
FL325148055PE9295XHWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for ABBY MOORE (PA)

  • PO BOX 95590

    SOUTH JORDAN, UT 840950590

    Phone: (801) 784-0954

    Fax: (801) 352-7976

    Type: Mailing

  • 4244 AVALON BLVD

    MILTON, FL 325832808

    Phone: (448) 227-5750

    Fax: (448) 227-9676

    Type: Location

  • 9295 Scenic Hwy

    Pensacola, FL 325148055

    Phone: (850) 983-3528

    Fax: (850) 983-3546

    Type: Location

  • 4724 N DAVIS HWY

    PENSACOLA, FL 325032339

    Phone: (850) 696-4000

    Fax: (850) 434-2647

    Type: Mailing

  • 1921 E NINE MILE RD

    PENSACOLA, FL 325147747

    Phone: (850) 479-4791

    Type: Location

  • 9295 SCENIC HWY

    PENSACOLA, FL 325148055

    Phone: (850) 983-3528

    Fax: (850) 983-3546

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Astellas Pharma US Inc ($40).

Total Amount

$102

General + Research + Ownership

Payments

5

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

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: 2015-10-20

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
I20151020000273IPhysician AssistantFLTBD

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
81003Automated urinalysis test242165$0
51798Ultrasound measurement of bladder capacity after voiding180141$0
99214Established patient office or other outpatient visit, 30-39 minutes163123$0
99215Established patient office or other outpatient visit, 40-54 minutes4341$0
99205New patient office or other outpatient visit, 60-74 minutes4242$0
View full utilization report →

Insurance plans in this area (ZIP 84095)

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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: 7719293539View full group profile
NameSpecialtyState
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL

Reviews

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Frequently asked questions

How do I look up ABBY MOORE (PA) by NPI?
Use NPI 1275909269 when you need to reference ABBY MOORE (PA) in forms, claims, or directories.
Is ABBY MOORE (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize ABBY MOORE (PA)'s specialty in plain language?
Clinically, the directory lists ABBY MOORE (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for ABBY MOORE (PA)?
We surface South Jordan, Utah for ABBY MOORE (PA) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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