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Andrew Marc Moore

Physician Assistant • Beavercreek, OH

Active NPI 1710462734 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

3535 Pentagon Blvd
Beavercreek, OH 454311705

Call 9377024024 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

3535 Pentagon Blvd

Beavercreek, OH 454311705

Telephone 9377024024
Fax 9377024035
Organization at the Same NPPES Address or Phone
Kettering Independent Medical Group Inc Facility NPI 1881999449

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 Nashville, TN. See the list

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

CMS Doctors and Clinicians lists 1 group name: Kettering Independent Medical Group Inc. 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

Medical School

Lincoln Memorial University Medical Department

Graduation Year

2018

Medicare patients

49 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 – by Provider, 2024.

Medicare-allowed amount

About $4,458 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 – by Provider and Service, 2024.

Paid by Medicare

About $3,556 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 – by Provider and Service, 2024.

Open Payments general payments, program year 2022

All general payments: $50.68 across 2 records.

By nature of payment

  • Food and Beverage: $50.68 across 2 records.

Reporting-company totals

  • AstraZeneca Pharmaceuticals LP: $26.65 across 1 record.
  • Pacira Pharmaceuticals Incorporated: $24.03 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2022 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 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

2018

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, “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

Enrolled in Medicare (PECOS)

Andrew 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 Andrew 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 Beavercreek and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 95% of clinicians listed under Physician Assistant in Beavercreek, OH (2024, 11 clinicians with data). Median for this group: 251. Middle half: 140 to 311.

Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: 169. Middle half: 67 to 400.

Medicare-allowed amount

A lower Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Beavercreek, OH (2024, 11 clinicians with data). Median for this group: $18,255. Middle half: $13,840 to $25,677.

A lower Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: $13,051. Middle half: $5,335 to $26,160.

Paid by Medicare

A lower Medicare payment amount than 95% of clinicians listed under Physician Assistant in Beavercreek, OH (2024, 11 clinicians with data). Median for this group: $12,123. Middle half: $9,991 to $19,267.

A lower Medicare payment amount than 75% of clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: $9,581. Middle half: $3,849 to $19,099.

24 active clinicians are listed under Physician Assistant with a practice address in Beavercreek, OH (5,329 in Ohio).

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

Telehealth indicator in Beavercreek

12.5% of these 24 clinicians have the CMS telehealth indicator.

70.8% of these 24 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · 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 · Program Year 2022

Program year 2022 (payments made January 1 – December 31, 2022): fewer than 11 records totaling $50.68.

Manufacturer Payment Nature Product Type Amount ($)
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
— General $26.65
Pacira Pharmaceuticals Incorporated
Food and Beverage
In-kind items and services
Exparel General $24.03

Source: CMS Open Payments, program year 2022, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018–2023 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 – by Provider and Service data, 2019–2024; 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
99291 Critical care, first 30-74 minutes
16 16 $479.00 $173.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
12 12 $528.00 $140.43

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: 2021-01-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OH 50.005821RX

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

License # reported to NPPES TN 3688
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: State Medical Board of Ohio.
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

I20190523001276

Enrollment State Jurisdiction

OH

PECOS Control ID

4688824683

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

Kettering Independent Medical Group Inc

3535 Pentagon Park Blvd, Dayton, OH 454311705

Phone: 9374902264

Kettering Independent Medical Group Inc

3535 Pentagon Blvd, Beavercreek, OH 454311705

Kettering Independent Medical Group Inc

4441 Far Hills Ave, Kettering, OH 454292405

Phone: 9372987751

Kettering Independent Medical Group Inc

4403 Far Hills Ave, Kettering, OH 454292405

Phone: 9374335309

Secondary Practice Locations

2105 Sherbrooke Ln

Nashville, TN 372117029

Phone: 8657768490

Clinicians Sharing This Practice Address or Phone

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

2 listed
Raeanne Fondriest , AG-ACNP

Nurse Practitioner - Acute Care

NPI 1194105692

Adult-Gerontology Acute Care Nurse Practitioner

Courtney Pemberton , APRN

Nurse Practitioner - Acute Care

NPI 1932701604

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 12, 2021

Registered at 3535 PENTAGON BLVD, BEAVERCREEK, OH 454311705 (Tel: 9377024024)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2019

Physician Assistant (license number reported to NPPES: OH 50.005821RX)

✅
NPI Profile Active September 25, 2018

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) September 25, 2018

Registered at 2105 SHERBROOKE LN, NASHVILLE, TN 372117029 (Tel: 8657768490)

📍
Business Mailing Address (Initial Record) September 25, 2018

Registered at 2105 SHERBROOKE LN, NASHVILLE, TN 372117029 (Tel: 8657768490)

👤
Provider Name / Credentials (Initial Record) September 25, 2018

Recorded as ANDREW MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2018

Physician Assistant (license number reported to NPPES: TN 3688)

🟢
Initial NPI Registration & Enumeration September 25, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710462734
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2018
Last Update: January 12, 2021
Sole Proprietor: No

Other Physician Assistants in Beavercreek

All Physician Assistants in Beavercreek

Mailing Address

2105 Sherbrooke Ln

Nashville, TN 372117029

Phone: 8657768490

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.