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Jon G. Moore , PA-C

Physician Assistant • Saint Robert, MO

Active NPI 1003805201 Individual Practitioner Male Practitioner
Practice location in NPPES

608 Old Route 66
Saint Robert, MO 655843730

Call 5733365100 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

608 Old Route 66

Saint Robert, MO 655843730

Telephone 5733365100
Organization at the Same NPPES Address or Phone
Mercy Hospital Lebanon Facility NPI 1912345257

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

Medicare-allowed amount

About $139,382 in 2019

The total amount Medicare approved for these services in 2019. 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 – by Provider and Service, 2019.

Paid by Medicare

About $84,399 in 2019

The part of the Medicare-allowed amount that Medicare itself paid in 2019, 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 – by Provider and Service, 2019.

30-day fills

245 standardized 30-day fills in 2019

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

$6,835 in 2019

The total cost of these prescriptions in 2019, 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 – by Provider and Drug, 2019.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2005

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, “Does 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

Compared with the same specialty in Saint Robert and Missouri

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Jon Moore are from 2019.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Jon Moore are from 2019.

5 active clinicians are listed under Physician Assistant with a practice address in Saint Robert, MO (1,791 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Medicare Part D Prescribers (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2019.

CMS Part B · Data Year 2019
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2018 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 – by Provider and Service data, 2017–2019; 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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
1,095 697 $110.00 $58.93
17003 Destruction of precancer skin growth, 2-14 growths
889 264 $20.00 $4.39
17000 Destruction of precancer skin growth, 1 growth
394 325 $128.25 $50.09
17004 Destruction of precancer skin growth, 15 or more growths
326 203 $468.00 $118.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
186 141 $67.00 $35.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
34 34 $166.00 $86.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
18 16 $161.00 $86.64
17110 Destruction of skin growth, 1-14 growths
16 13 $172.88 $85.16

Source: CMS Part B by Provider and Service, 2019; 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 2019.

CMS Part D · Data Year 2019
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Triamcinolone Acetonide Triamcinolone Acetonide 88 2,327 $1,177.06 46
Doxycycline Hyclate Doxycycline Hyclate 20 567 $974.35 —
Methotrexate Methotrexate Sodium 20 693 $493.14 —
Clobetasol Propionate Clobetasol Propionate 16 313 $896.80 —
Metronidazole Metronidazole 15 263 $1,706.65 —
Betamethasone Dipropionate Betamethasone Dipropionate 15 328 $825.36 —
Hydroxyzine Hcl Hydroxyzine Hcl 12 767 $94.63 —
Mupirocin Mupirocin 11 150 $69.11 —
Minocycline Hcl Minocycline Hcl 11 330 $598.24 —

Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MO 118222

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: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Tricare
431560263 (MO)
Other Identifier Rr Mcr
P01262378 (MO)

Clinicians Sharing This Practice Address or Phone

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

13 listed
Mark Allen , FNP-BC

Nurse Practitioner - Family

NPI 1134791411

Family Nurse Practitioner (Board Certified)

Dr. Ann Blackman , MD

Family Medicine

NPI 1588640510

Doctor of Medicine (M.D.)

Melva Evans , NP

Nurse Practitioner - Family

NPI 1558825430

Nurse Practitioner

Kristopher Flynt , PA

Physician Assistant

NPI 1578340766

Physician Assistant

Dr. Saima Jabeen , MD

Internal Medicine

NPI 1316976582

Doctor of Medicine (M.D.)

Dr. Debra Mccaul , MD

Family Medicine

NPI 1376692939

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated October 19, 2005.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1003805201
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2005
Last Update: March 13, 2014
Sole Proprietor: No

Other Physician Assistants in Saint Robert

Mailing Address

Po Box 2580

Springfield, MO 658012580

Phone: 4178294620

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.