Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Tina Ann Wilkinson Moore , PA

Physician Assistant โ€ข Willow Park, TX

Active NPI 1124013198 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

5700 E I 20 Service Rd S
Willow Park, TX 760085115

Call 8174897300 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

5700 E I 20 Service Rd S

Willow Park, TX 760085115

Telephone 8174897300
Fax 8174897302
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Fort Worth, TX. See the list

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

CMS Doctors and Clinicians lists 1 group name: Primary Health Physicians 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

1996

Medicare patients

21 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 $1,535 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 $1,112 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 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

$27 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 โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $24.90 in 2022

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 2022.

Guide: How to read an Open Payments record

Years since graduation

30 years (graduated 1996)

CMS Doctors and Clinicians data list 1996 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

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.

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)

Tina Wilkinson 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 Tina Wilkinson 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 Willow Park and Texas

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 Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.

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

Medicare-allowed amount

A lower Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $15,434. Middle half: $6,111 to $35,691.

Too few clinicians listed under Physician Assistant in Willow Park 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 Texas (2024, 4,400 clinicians with data). Median for this group: $11,276. Middle half: $4,395 to $26,238.

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

Medicare Part D prescriptions

Fewer Part D prescriptions than 95% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.

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

Part D drug cost

A lower Part D drug cost than 95% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: $7,999. Middle half: $749 to $103,240.

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

5 active clinicians are listed under Physician Assistant with a practice address in Willow Park, TX (11,008 in Texas).

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 (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 $24.90.

Manufacturer Payment Nature Product Type Amount ($)
Amarin Pharma Inc.
Food and Beverage
In-kind items and services
Vascepa General $24.90

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 2016โ€“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, 2017โ€“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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $503.00 $139.58

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 ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Azithromycin Azithromycin 11 55 $26.94 11

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 TX PA03112

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: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
196341501 (TX)
Medicaid ID
196341502 (TX)
Other Identifier Bcbs
8F9743 (TX)

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

I20041025000459

Enrollment State Jurisdiction

TX

PECOS Control ID

7719948553

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

Primary Health Physicians Pllc

7232 N Fwy, Fort Worth, TX 761372481

Phone: 8174398100

Primary Health Physicians Pllc

8450 E Fwy, Fort Worth, TX 761204413

Phone: 8174592005

Primary Health Physicians Pllc

2700 Horne St, Fort Worth, TX 761074604

Phone: 8175707995

Primary Health Physicians Pllc

5653 Mcpherson Blvd, Fort Worth, TX 761236023

Phone: 6823543100

Primary Health Physicians Pllc

7400 Mccart Ave, Fort Worth, TX 761337270

Phone: 8172941651

Primary Health Physicians Pllc

1501 Hwy 287 N, Mansfield, TX 760634855

Phone: 8174538080

Primary Health Physicians Pllc

104 S Main St, Keller, TX 762485003

Phone: 2142959385

Primary Health Physicians Pllc

454 N Jim Wright Fwy, White Settlement, TX 761081437

Phone: 6827034505

Primary Health Physicians Pllc

5001 S Hulen St, Fort Worth, TX 761321968

Phone: 6826101670

Primary Health Physicians Pllc

2310 W University Dr, Denton, TX 762011650

Phone: 9402205901

Primary Health Physicians Pllc

3520 Nw Centre Dr, Fort Worth, TX 761353612

Phone: 8173752100

Primary Health Physicians Pllc

4524 W Bailey Boswell Rd, Fort Worth, TX 761794319

Phone: 8177209685

Primary Health Physicians Pllc

779 Grapevine Hwy, Hurst, TX 760542805

Phone: 8174287300

Secondary Practice Locations

2400 Mall Cir

Fort Worth, TX 761161544

Phone: 8177377000

Clinicians Sharing This Practice Address or Phone

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

5 listed
Gary Hawkins , PA-C

Physician Assistant - Medical

NPI 1992731079

Physician Assistant (Certified)

Kimberly Hilmer , FNP

Nurse Practitioner - Family

NPI 1902021850

Family Nurse Practitioner

Michael Meador , PA-C

Physician Assistant

NPI 1033424189

Physician Assistant (Certified)

NPI 1669676326

Doctor of Medicine (M.D.)

NPI 1649533944

Doctor of Osteopathic Medicine (D.O.)

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 January 28, 2019

Registered at 5700 E I 20 SERVICE RD S, WILLOW PARK, TX 760085115 (Tel: 8174897300)

๐Ÿ“
Updated Business Mailing Address January 28, 2019

Registered at 5700 E I 20 SERVICE RD S, WILLOW PARK, TX 760085115 (Tel: 8177377000)

๐Ÿ‘ค
Provider Name / Credentials Updated January 28, 2019

Recorded as TINA WILKINSON MOORE, PA

โœ…
NPI Profile Active March 23, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location March 23, 2017

Registered at 2400 MALL CIR, FORT WORTH, TX 761161544 (Tel: 8177377000)

๐Ÿ“
Updated Business Mailing Address March 23, 2017

Registered at 2400 MALL CIR, FORT WORTH, TX 761161544 (Tel: 8177377000)

๐Ÿ‘ค
Provider Name / Credentials Updated March 23, 2017

Recorded as TINA MOORE, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2017

Physician Assistant (license number reported to NPPES: TX PA03112)

โœ…
NPI Profile Active August 17, 2010

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) August 17, 2010

Registered at 6825 GREEN OAKS RD, FORT WORTH, TX 761161713 (Tel: 8177377000)

๐Ÿ“
Business Mailing Address (Initial Record) August 17, 2010

Registered at 6825 GREEN OAKS RD, FORT WORTH, TX 761161713 (Tel: 8177377000)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) August 17, 2010

Recorded as TINA MOORE, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2010

Physician Assistant (license number reported to NPPES: TX PA03112)

๐ŸŸข
Initial NPI Registration & Enumeration September 15, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124013198
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2005
Last Update: January 28, 2019
Sole Proprietor: No

Other Physician Assistants in Willow Park

Mailing Address

5700 E I 20 Service Rd S

Willow Park, TX 760085115

Phone: 8177377000

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.