Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jacqueline Faith Moore , PA-C

Physician Assistant โ€ข Albany, OR

Active NPI 1679945000 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

400 Hickory St Nw Ste 303
Albany, OR 973211700

Call 5418125275 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

400 Hickory St Nw Ste 303

Albany, OR 973211700

Telephone 5418125275
Organization at the Same NPPES Address or Phone
Albany General Hospital Facility NPI 1740546902

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 Corvallis, OR. See the list

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

CMS Doctors and Clinicians lists 2 distinct group names: Albany General Hospital; Good Samaritan Hospital Corvallis. 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

2015

Medicare patients

48 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 $2,645 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 $1,660 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.

30-day fills

11 standardized 30-day fills in 2022

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

$125 in 2022

The total cost of these prescriptions in 2022, 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 โ€“ by Provider and Drug, 2022.

Open Payments general payments, program year 2022

All general payments: $86.61 across 2 records.

By nature of payment

  • Food and Beverage: $86.61 across 2 records.

Reporting-company totals

  • Urgo Medical North America, LLC: $72.52 across 1 record.
  • Smith+Nephew, Inc.: $14.09 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

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 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

2015

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, 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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jacqueline 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 Jacqueline 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 Albany and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant in Albany, OR (2024, 18 clinicians with data). Median for this group: 151. Middle half: 53 to 204.

Fewer Medicare Part B services than 90% of clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: 218. Middle half: 98 to 498.

Medicare-allowed amount

A lower Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Albany, OR (2024, 18 clinicians with data). Median for this group: $11,196. Middle half: $4,908 to $15,056.

A lower Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: $15,959. Middle half: $7,110 to $33,008.

Paid by Medicare

A lower Medicare payment amount than 90% of clinicians listed under Physician Assistant in Albany, OR (2024, 18 clinicians with data). Median for this group: $6,932. Middle half: $3,571 to $10,279.

A lower Medicare payment amount than 90% of clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: $11,156. Middle half: $5,029 to $23,443.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Jacqueline Moore are from 2022.

28 active clinicians are listed under Physician Assistant with a practice address in Albany, OR (2,095 in Oregon).

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

Telehealth indicator in Albany

3.6% of these 28 clinicians have the CMS telehealth indicator.

78.6% of these 28 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo ยท 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 ยท Program Year 2022

Program year 2022 (payments made January 1 โ€“ December 31, 2022): fewer than 11 records totaling $86.61.

Manufacturer Payment Nature Product Type Amount ($)
Urgo Medical North America, LLC
Food and Beverage
In-kind items and services
VASHE WOUND SOLUTION 250 ML (8.5 FL OZ) FLIP TOP CAP General $72.52
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
COLLAGENASE SANTYL General $14.09

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 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 2017โ€“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, 2018โ€“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
36 35 $232.00 $73.46

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 2022.

CMS Part D ยท Data Year 2022
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 11 135 $125.36 11

Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OR PA175138

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: Oregon Medical Board.
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

I20151207001133

Enrollment State Jurisdiction

OR

PECOS Control ID

9638479124

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

Albany General Hospital

1970 14th Ave Se, Albany, OR 973228527

Phone: 5418125670

Albany General Hospital

705 Elm St Sw, Albany, OR 973211957

Phone: 5418124850

Good Samaritan Hospital Corvallis

2555 Ne Belvue St, Corvallis, OR 973304202

Phone: 5417682220

Good Samaritan Hospital Corvallis

3600 Nw Samaritan Dr, Corvallis, OR 973303737

Good Samaritan Hospital Corvallis

3600 Nw Samaritan Dr, Corvallis, OR 973303737

Phone: 5417681261

Secondary Practice Locations

5234 Sw Philomath Blvd

Corvallis, OR 973331042

Phone: 5417684970

Clinicians Sharing This Practice Address or Phone

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

7 listed
Emily Atharinikrouh , FNP

Nurse Practitioner - Primary Care

NPI 1639424104

Family Nurse Practitioner

Bradford Chaney , FNP

Nurse Practitioner - Family

NPI 1417383886

Family Nurse Practitioner

Althea Hinds-Cook , PA-C

Physician Assistant

NPI 1811511306

Physician Assistant (Certified)

Thomas Hollowell , PA-C

Physician Assistant

NPI 1922671130

Physician Assistant (Certified)

Gregory Nowak

Family Medicine

NPI 1669035457
Dr. Steven Simon , MD

Family Medicine

NPI 1346290871

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
๐Ÿ“
Updated Practice Location November 20, 2023

Registered at 400 HICKORY ST NW STE 303, ALBANY, OR 973211700 (Tel: 5418125275)

๐Ÿ“
Updated Business Mailing Address November 20, 2023

Registered at PO BOX 1189, CORVALLIS, OR 973391189 (Tel: 5417687999)

๐Ÿ“
Updated Business Mailing Address May 24, 2021

Registered at PO BOX 2168, CARSON CITY, NV 897022168 (Tel: 7754458790)

๐Ÿ“
Updated Business Mailing Address November 11, 2020

Registered at PO BOX 1189, CORVALLIS, OR 973391189

๐Ÿ“
Updated Practice Location March 13, 2019

Registered at 5234 SW PHILOMATH BLVD, CORVALLIS, OR 973331042 (Tel: 5417684970)

๐Ÿ“
Updated Business Mailing Address March 13, 2019

Registered at 5234 SW PHILOMATH BLVD, CORVALLIS, OR 973331042 (Tel: 5417684970)

๐Ÿ‘ค
Provider Name / Credentials Updated March 13, 2019

Recorded as JACQUELINE MOORE, PA-C

๐Ÿ‘ค
Provider Name / Credentials Updated February 15, 2018

Recorded as JACQUELINE MOORE, PA

โœ…
NPI Profile Active November 03, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 03, 2015

Registered at 425 N SANTIAM HWY, LEBANON, OR 973554361 (Tel: 5414516960)

๐Ÿ“
Business Mailing Address (Initial Record) November 03, 2015

Registered at 2500 LYON ST SE, ALBANY, OR 973223948 (Tel: 5419916876)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 03, 2015

Recorded as JACQUELINE FITCH, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2015

Physician Assistant (license number reported to NPPES: OR PA175138)

๐ŸŸข
Initial NPI Registration & Enumeration October 26, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679945000
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2015
Last Update: November 20, 2023
Sole Proprietor: Yes

Other Physician Assistants in Albany

All Physician Assistants in Albany

Mailing Address

Po Box 1189

Corvallis, OR 973391189

Phone: 5417687999

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.