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Evan Moore

Physician Assistant โ€ข Brawley, CA

Active NPI 1376315614 Individual Practitioner Male Practitioner
Practice location in NPPES

207 W Legion Rd
Brawley, CA 922277780

Call 7603513333 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

207 W Legion Rd

Brawley, CA 922277780

Telephone 7603513333
Organization at the Same NPPES Address or Phone
Pioneers Memorial Healthcare District Facility NPI 1073519443

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare patients

114 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $13,658 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $10,403 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

30 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$239 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Evan Moore has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Evan Moore as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Brawley and California

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: 198. Middle half: 71 to 535.

Too few clinicians listed under Physician Assistant in Brawley have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: $18,173. Middle half: $6,666 to $41,587.

Too few clinicians listed under Physician Assistant in Brawley have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: $13,209. Middle half: $4,792 to $30,879.

Too few clinicians listed under Physician Assistant in Brawley have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 90% of clinicians listed under Physician Assistant in Brawley, CA (2024, 15 clinicians with data). Median for this group: 244. Middle half: 141 to 476.

Fewer Part D prescriptions than 85% of clinicians listed under Physician Assistant in California (2024, 7,516 clinicians with data). Median for this group: 229. Middle half: 72 to 718.

Part D drug cost

A lower Part D drug cost than 90% of clinicians listed under Physician Assistant in Brawley, CA (2024, 15 clinicians with data). Median for this group: $2,170. Middle half: $1,528 to $8,490.

A lower Part D drug cost than 85% of clinicians listed under Physician Assistant in California (2024, 7,516 clinicians with data). Median for this group: $3,945. Middle half: $709 to $60,209.

20 active clinicians are listed under Physician Assistant with a practice address in Brawley, CA (14,458 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Brawley

0% of these 20 clinicians have the CMS telehealth indicator.

45% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit with high level of medical decision making
61 61 $1224.00 $143.17
99284 Emergency department visit with moderate level of medical decision making
48 48 $833.75 $98.93
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
26 25 $63.00 $6.78

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Cefuroxime Cefuroxime Axetil 18 150 $200.82 18
Cephalexin Cephalexin 12 88 $38.03 12

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES CA PA63931

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20240228002006

Enrollment State Jurisdiction

CA

PECOS Control ID

9133564297

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

21 listed
Louie Amparo , CRNA

Nurse Anesthetist, Certified Registered

NPI 1831789213

Certified Registered Nurse Anesthetist

Dr. Michael Bishop , DO

Emergency Medicine

NPI 1497865364

Doctor of Osteopathic Medicine (D.O.)

Glenn Clark , CRNA

Nurse Anesthetist, Certified Registered

NPI 1568632982

Certified Registered Nurse Anesthetist

Dr. Thomas Ence , MD

Emergency Medicine

NPI 1821418559

Doctor of Medicine (M.D.)

Autumn Fornasero , MS PA-C

Physician Assistant - Medical

NPI 1124300959

MSPAC

Jonica Goetsch-Stingl , CRNA

Nurse Anesthetist, Certified Registered

NPI 1699821835

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location January 19, 2024

Registered at 207 W LEGION RD, BRAWLEY, CA 922277780 (Tel: 7603513333)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2024

Physician Assistant (license number reported to NPPES: CA PA63931)

โœ…
NPI Profile Active October 30, 2023

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) October 30, 2023

Registered at 9055 BALBOA AVE, SAN DIEGO, CA 921231509 (Tel: 6198497974)

๐Ÿ“
Business Mailing Address (Initial Record) October 30, 2023

Registered at 2461 STARLIGHT GLN, ESCONDIDO, CA 920263858

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) October 30, 2023

Recorded as EVAN MOORE

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2023

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration October 30, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376315614
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2023
Last Update: January 19, 2024
Sole Proprietor: Yes

Other Physician Assistants in Brawley

All Physician Assistants in Brawley

Mailing Address

2461 Starlight Gln

Escondido, CA 920263858

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.