MARK E MORAN (PA-C) – Physician Assistant, NPI 1609821677
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
Provider Addresses for MARK E MORAN (PA-C)
213 S JEFFERSON ST STE 1006
ROANOKE, VA 240111713
Phone:
Type: Mailing
142 S Main St
Emergency Dept
Danville, VA 245412922
Phone: (434) 799-2222
Fax: (434) 799-3857
Type: Location
402 STILL SPRING DR
DANVILLE, VA 245418006
Phone: (434) 799-3704
Type: Mailing
22890 VIRGIL H GOODE HWY
BOONES MILL, VA 24065
Phone: (540) 334-5511
Type: Location
Sovah Health - Danville, 142, South Main Street, Miller Park, Danville, Danville City, Virginia, 24541, United States
EMERGENCY DEPT
DANVILLE, VA 245412922
Phone: (434) 799-2222
Fax: (434) 799-3857
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-02-03
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 |
|---|---|---|---|---|
| I20050203000354 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 24011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| - | VA | |
| Emergency Medicine | VA | |
| Nurse Practitioner | GA | |
| Emergency Medicine | NC | |
| - | TN | |
| Emergency Medicine | NC | |
| Physician Assistant | GA | |
| Internal Medicine | VA | |
| Nurse Practitioner | VA |
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