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Anthony Allen Moore , PA

Physician Assistant - Surgical โ€ข Orlando, FL

Active NPI 1497901029 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4215 Edgewater Dr
Orlando, FL 328042206

Call 8555827747 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

4215 Edgewater Dr

Orlando, FL 328042206

Telephone 8555827747
Fax 8889724761
Organization at the Same NPPES Address or Phone
Qss-Southeast Clinical Services Llc Facility NPI 1740521137

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

Other Listings in Public Data

NPPES lists 4 distinct additional practice-address records in Cocoa Beach, FL; Melbourne, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2008

Medicare patients

42 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 $1,797 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 $1,432 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.

Industry payments (Open Payments)

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

Guide: How to read an Open Payments record

Years since graduation

18 years (graduated 2008)

CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2008

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Anthony 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 Anthony 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 Orlando and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 75% of clinicians listed under Physician Assistant - Surgical in Orlando, FL (2024, 87 clinicians with data). Median for this group: 58. Middle half: 24 to 454.

Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant - Surgical in Florida (2024, 615 clinicians with data). Median for this group: 147. Middle half: 47 to 574.

Medicare-allowed amount

A lower Medicare-allowed amount than 80% of clinicians listed under Physician Assistant - Surgical in Orlando, FL (2024, 87 clinicians with data). Median for this group: $5,528. Middle half: $2,434 to $20,056.

A lower Medicare-allowed amount than 90% of clinicians listed under Physician Assistant - Surgical in Florida (2024, 615 clinicians with data). Median for this group: $13,371. Middle half: $4,195 to $36,121.

Paid by Medicare

A lower Medicare payment amount than 80% of clinicians listed under Physician Assistant - Surgical in Orlando, FL (2024, 87 clinicians with data). Median for this group: $4,404. Middle half: $1,840 to $15,141.

A lower Medicare payment amount than 85% of clinicians listed under Physician Assistant - Surgical in Florida (2024, 615 clinicians with data). Median for this group: $10,303. Middle half: $3,157 to $28,339.

201 active clinicians are listed under Physician Assistant - Surgical with a practice address in Orlando, FL (1,459 in Florida).

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

Telehealth indicator in Orlando

6% of these 201 clinicians have the CMS telehealth indicator.

67.7% of these 201 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, 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
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“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, 2017โ€“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
47100 Partial removal of liver tissue
11 11 $3500.00 $101.53
47562 Removal of gallbladder using an endoscope
11 11 $3350.00 $61.83

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.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-23
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

License # reported to NPPES FL PA9104697
Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PAT9104697

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: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
132026300 (FL)
Other Identifier Qss Scs Ptan
BJ031X (FL)

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

I20090223000154

Enrollment State Jurisdiction

FL

PECOS Control ID

5991868242

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.

Secondary Practice Locations

8725 N Wickham Rd Ste 302

Melbourne, FL 329402240

Phone: 3218685871

701 W Cocoa Beach Cswy

Cocoa Beach, FL 329315595

Phone: 3218685871

699 W Cocoa Beach Cswy Ste 505

Cocoa Beach, FL 329313562

Phone: 3218685871

8745 N Wickham Rd

Melbourne, FL 329405997

Phone: 3218685871

Clinicians Sharing This Practice Address or Phone

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

8 listed
Kenneth Baker , PA-C

Physician Assistant

NPI 1407884950

Physician Assistant (Certified)

Richard Chapman , PA-C

Physician Assistant - Surgical

NPI 1437144953

Physician Assistant (Certified)

Michael Hammoor , PA-C

Physician Assistant - Surgical

NPI 1043272255

Physician Assistant (Certified)

Christopher Kondor , PA-C

Physician Assistant - Surgical

NPI 1457345449

Physician Assistant (Certified)

Denise Livingston , ARNP

Nurse Practitioner - Adult Health

NPI 1083968820

Advanced Registered Nurse Practitioner

Wilberto Olivera , PA-C

Physician Assistant - Surgical

NPI 1306916572

Physician Assistant (Certified)

Career & Practice History Timeline

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

17 Historical Events
๐Ÿ“
Updated Business Mailing Address July 23, 2026

Registered at 695 US HIGHWAY 46 STE 400A, FAIRFIELD, NJ 070041568 (Tel: 9738941265)

๐Ÿข
Secondary Practice Location Registered July 23, 2026

Additional practice office at 8725 N Wickham Rd Ste 302, Melbourne, FL 329402240

๐Ÿข
Secondary Practice Location Registered July 23, 2026

Additional practice office at 701 W Cocoa Beach Cswy, Cocoa Beach, FL 329315595

๐Ÿข
Secondary Practice Location Registered July 23, 2026

Additional practice office at 8745 N Wickham Rd, Melbourne, FL 329405997

๐Ÿข
Secondary Practice Location Registered July 23, 2026

Additional practice office at 699 W Cocoa Beach Cswy Ste 505, Cocoa Beach, FL 329313562

โœ…
NPI Profile Active September 27, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location September 27, 2017

Registered at 4215 EDGEWATER DR, ORLANDO, FL 328042206 (Tel: 8555827747)

๐Ÿ“
Updated Business Mailing Address September 27, 2017

Registered at 695 US HIGHWAY 46, STE 400A, FAIRFIELD, NJ 070041568 (Tel: (973) 894-1265)

๐Ÿ‘ค
Provider Name / Credentials Updated September 27, 2017

Recorded as ANTHONY MOORE, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2017

Physician Assistant (license number reported to NPPES: FL PAT9104697)

๐Ÿ“
Updated Business Mailing Address August 07, 2017

Registered at 695 US HIGHWAY 46, STE 400A, FAIRFIELD, NJ 070041568 (Tel: 9738941265)

โœ…
NPI Profile Active August 14, 2008

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) August 14, 2008

Registered at 301 E HIBISCUS BLVD, MELBOURNE, FL 329013105 (Tel: 3214098941)

๐Ÿ“
Business Mailing Address (Initial Record) August 14, 2008

Registered at PO BOX 1261, MELBOURNE, FL 329021261 (Tel: 3214098941)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) August 14, 2008

Recorded as ANTHONY MOORE, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2008

Physician Assistant (license number reported to NPPES: FL PAT9104697)

๐ŸŸข
Initial NPI Registration & Enumeration August 14, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497901029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2008
Last Update: July 23, 2026
Sole Proprietor: No

Other Physician Assistant - Surgicals in Orlando

All Physician Assistant - Surgicals in Orlando

Mailing Address

695 Us Highway 46 Ste 400a

Fairfield, NJ 070041568

Phone: 9738941265

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.