Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Matthew Henry Moore , PA-C

Physician Assistant • Miami, OK

Active NPI 1700053394 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

111 S Treaty Rd
Miami, OK 74354

Call 9185401511 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

111 S Treaty Rd

Miami, OK 74354

Telephone 9185401511
Fax 9185427374
Organization at the Same NPPES Address or Phone
Grand Lake Mental Health Center, Inc. Facility NPI 1497762520

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 Miami, OK. See the list

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

CMS Doctors and Clinicians lists 1 group name: Northeastern Tribal Health System. 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

2007

Medicare patients

70 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 $3,542 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 $2,155 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.

30-day fills

2,267 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

$262,219 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 – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $18.57 in 2025

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 2025.

Guide: How to read an Open Payments record

Years since graduation

19 years (graduated 2007)

CMS Doctors and Clinicians data list 2007 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

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; 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)

Matthew 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 Matthew 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 Miami and Oklahoma

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 70% of clinicians listed under Physician Assistant in Oklahoma (2024, 947 clinicians with data). Median for this group: 315. Middle half: 123 to 859.

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

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Oklahoma (2024, 947 clinicians with data). Median for this group: $20,534. Middle half: $8,490 to $45,172.

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

Paid by Medicare

A lower Medicare payment amount than 90% of clinicians listed under Physician Assistant in Oklahoma (2024, 947 clinicians with data). Median for this group: $14,881. Middle half: $6,219 to $32,810.

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

Medicare Part D prescriptions

More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Oklahoma (2024, 938 clinicians with data). Median for this group: 239. Middle half: 62 to 934.

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

Part D drug cost

A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Oklahoma (2024, 938 clinicians with data). Median for this group: $5,092. Middle half: $598 to $115,221.

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

5 active clinicians are listed under Physician Assistant with a practice address in Miami, OK (1,870 in Oklahoma).

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

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), 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 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $18.57.

Manufacturer Payment Nature Product Type Amount ($)
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
INVEGA SUSTENNA General $18.57

Source: CMS Open Payments, program year 2025, 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 2016–2023 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, 2017–2024; 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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
30 26 $84.03 $60.96
80053 Blood test, comprehensive group of blood chemicals
17 16 $78.00 $10.35
20610 Aspiration and/or injection of fluid from large joint
15 11 $210.67 $66.01
80061 Blood test, lipids (cholesterol and triglycerides)
14 13 $91.00 $13.12
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test
14 14 $38.00 $6.34
81001 Manual urinalysis test with examination using microscope, automated
12 12 $29.00 $3.11
84100 Phosphate level
12 12 $30.00 $4.65
84443 Blood test, thyroid stimulating hormone (tsh)
11 11 $92.00 $16.46

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 · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Gabapentin Gabapentin 94 3,084 $1,441.36 29
Trazodone Hcl Trazodone Hcl 92 3,258 $842.70 32
Buspirone Hcl Buspirone Hcl 86 2,633 $1,358.65 27
Quetiapine Fumarate Quetiapine Fumarate 86 2,543 $3,327.84 22
Fluoxetine Hcl Fluoxetine Hcl 79 2,794 $394.51 24
Lamotrigine Lamotrigine 74 2,280 $649.59 19
Losartan Potassium Losartan Potassium 70 2,280 $1,998.54 15
Atorvastatin Calcium Atorvastatin Calcium 69 2,190 $723.15 19
Duloxetine Hcl Duloxetine Hcl 68 2,040 $797.58 15
Lisinopril Lisinopril 61 1,830 $714.38 18
Synthroid Levothyroxine Sodium 54 1,800 $1,496.04 11
Hydroxyzine Hcl Hydroxyzine Hcl 53 1,485 $1,027.56 18
Mirtazapine Mirtazapine 51 1,710 $529.59 21
Olanzapine Olanzapine 51 1,607 $1,066.97 17
Prazosin Hcl Prazosin Hcl 49 1,577 $628.49 17
Simvastatin Simvastatin 48 1,530 $1,522.54 —
Citalopram Hbr Citalopram Hydrobromide 47 1,410 $540.45 14
Invega Sustenna Paliperidone Palmitate 47 1,281 $162,451.29 —
Sertraline Hcl Sertraline Hcl 46 1,710 $273.82 17
Aripiprazole Aripiprazole 45 1,320 $681.62 14
Risperidone Risperidone 44 1,618 $580.37 18
Eliquis Apixaban 44 1,320 $25,661.77 —
Doxepin Hcl Doxepin Hcl 41 1,260 $1,158.60 14
Bupropion Xl Bupropion Hcl 38 1,200 $487.49 11
Albuterol Sulfate Hfa Albuterol Sulfate 36 680 $1,685.99 12

(top 25 shown)

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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OK 1732

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: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
200207110A (OK)
Medicaid ID
100736700O (OK)

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

I20240405000867

Enrollment State Jurisdiction

TX

PECOS Control ID

6901972561

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

Northeastern Tribal Health System

7600 S Hwy 69a, Miami, OK 743541016

Phone: 9185421655

Secondary Practice Locations

21 W Central Ave

Miami, OK 743546815

Phone: 9185423900

Clinicians Sharing This Practice Address or Phone

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

3 listed
NPI 1669846598

MSNCC

Bryan Rea , LCSW

Social Worker

NPI 1992177521

Licensed Clinical Social Worker

Lisa Stokely , LCSW

Social Worker

NPI 1972919637

Licensed Clinical Social Worker

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location January 07, 2019

Registered at 111 S TREATY RD, MIAMI, OK 74354 (Tel: 9185401511)

📍
Updated Business Mailing Address January 07, 2019

Registered at 111 S TREATY RD, MIAMI, OK 743545327 (Tel: 9185401511)

âś…
NPI Profile Active April 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2017

Registered at 21 W CENTRAL AVE, MIAMI, OK 743546815 (Tel: 9185423900)

📍
Updated Business Mailing Address April 05, 2017

Registered at 5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 731125556 (Tel: 9185423900)

👤
Provider Name / Credentials Updated April 05, 2017

Recorded as MATTHEW MOORE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2017

Physician Assistant (license number reported to NPPES: OK 1732)

âś…
NPI Profile Active February 03, 2016

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) February 03, 2016

Registered at 21 W CENTRAL AVE, MIAMI, OK 743546815 (Tel: 9185423900)

📍
Business Mailing Address (Initial Record) February 03, 2016

Registered at 5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 731125556 (Tel: 9185423900)

👤
Provider Name / Credentials (Initial Record) February 03, 2016

Recorded as MATTHEW MOORE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2016

Physician Assistant (license number reported to NPPES: OK 1732)

🟢
Initial NPI Registration & Enumeration May 13, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700053394
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2008
Last Update: January 07, 2019
Sole Proprietor: No

Other Physician Assistants in Miami

Mailing Address

111 S Treaty Rd

Miami, OK 743545327

Phone: 9185401511

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.