Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

John Patrick Moore , PA-C

Physician Assistant β€’ Rockford, IL

Active NPI 1265667083 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

324 Roxbury Rd
Rockford, IL 611075090

Call 8153989491 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

324 Roxbury Rd

Rockford, IL 611075090

Telephone 8153989491
Fax 8153817498
Organization at the Same NPPES Address or Phone
Orthomidwest, Pllc Facility NPI 1730136474

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 1 additional practice-address record in Elgin, IL. See the list

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

CMS Doctors and Clinicians lists 1 group name: Orthomidwest, Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, 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

Graduation Year

2009

Industry payments (Open Payments)

Fewer than 11 payment records totaling $21.53 in 2021

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2021.

Guide: How to read an Open Payments record

Years since graduation

17 years (graduated 2009)

CMS Doctors and Clinicians data list 2009 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.

NPI first issued

2009

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; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

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)

John 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 John 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 Rockford and Illinois

115 active clinicians are listed under Physician Assistant with a practice address in Rockford, IL (4,929 in Illinois).

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

Telehealth indicator in Rockford

5.2% of these 115 clinicians have the CMS telehealth indicator.

67.8% of these 115 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2021

Program year 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $21.53.

Manufacturer Payment Nature Product Type Amount ($)
Vericel Corporation
Food and Beverage
In-kind items and services
MACI General $21.53

Source: CMS Open Payments, program year 2021, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085003490

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: Illinois Department of Financial and Professional Regulation.
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

I20090921000213

Enrollment State Jurisdiction

IL

PECOS Control ID

8224184023

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.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Orthomidwest, Pllc

770 Beloit Rd, Belvidere, IL 610081745

Phone: 8153989491

Orthomidwest, Pllc

1550 N Randall Rd, Elgin, IL 601237876

Phone: 8153989491

Orthomidwest, Pllc

324 Roxbury Rd, Rockford, IL 611075090

Phone: 8153989491

Secondary Practice Locations

1550 N Randall Rd

Elgin, IL 601237876

Phone: 8153989491

Clinicians Sharing This Practice Address or Phone

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

40 listed
Dr. Umber Ahmad , DO

Internal Medicine - Rheumatology

NPI 1083957153

Doctor of Osteopathic Medicine (D.O.)

Dr. Hannah Alt , DPT

Physical Therapist

NPI 1043070816

Doctor of Physical Therapy

NPI 1114490224

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Bailey Brauer , DPT

Physical Therapist

NPI 1043956667

Doctor of Physical Therapy

Dr. Kelly Brinkman , DPT

Physical Therapist

NPI 1023398179

Doctor of Physical Therapy

NPI 1124131891

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Business Mailing Address September 08, 2023

Registered at PO BOX 735263, CHICAGO, IL 606735263

πŸ‘€
Provider Name / Credentials Updated September 08, 2023

Recorded as JOHN MOORE, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2023

Physician Assistant (license number reported to NPPES: IL 085003490)

βœ…
NPI Profile Active May 22, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 22, 2009

Registered at 324 ROXBURY RD, ROCKFORD, IL 611075090 (Tel: 8153989491)

πŸ“
Business Mailing Address (Initial Record) May 22, 2009

Registered at 324 ROXBURY RD, ROCKFORD, IL 611075090 (Tel: 8153989491)

πŸ‘€
Provider Name / Credentials (Initial Record) May 22, 2009

Recorded as JOHN MOORE, P.A.-C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2009

Physician Assistant

🟒
Initial NPI Registration & Enumeration May 22, 2009

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1265667083
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2009
Last Update: June 16, 2026
Sole Proprietor: No

Other Physician Assistants in Rockford

All Physician Assistants in Rockford

Mailing Address

Po Box 735263

Chicago, IL 606735263

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.