Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Douglas Bernard Moore , PA-C

Physician Assistant โ€ข Tacoma, WA

Active NPI 1790853422 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1304 Fawcett Ave, Suite 100
Tacoma, WA 984021911

Call 2537614200 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

1304 Fawcett Ave
Suite 100

Tacoma, WA 984021911

Telephone 2537614200
Fax 2533833553
Organization at the Same NPPES Address or Phone
Mobilemammo Nw Facility NPI 1538010020

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

CMS Doctors and Clinicians lists 2 distinct group names: Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance; Tra-Minw P S. 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

2006

Medicare patients

330 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 $35,076 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 $27,735 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.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $48.00 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

20 years (graduated 2006)

CMS Doctors and Clinicians data list 2006 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

2006

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)

Douglas 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 Douglas 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 Tacoma and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Tacoma, WA (2024, 104 clinicians with data). Median for this group: 156. Middle half: 56 to 340.

More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: 218. Middle half: 77 to 474.

Medicare-allowed amount

A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Tacoma, WA (2024, 104 clinicians with data). Median for this group: $14,034. Middle half: $5,997 to $27,216.

A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $16,952. Middle half: $6,879 to $34,613.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under Physician Assistant in Tacoma, WA (2024, 104 clinicians with data). Median for this group: $9,960. Middle half: $4,242 to $19,314.

A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $12,488. Middle half: $4,857 to $25,122.

324 active clinicians are listed under Physician Assistant with a practice address in Tacoma, WA (3,718 in Washington).

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

Telehealth indicator in Tacoma

9.3% of these 324 clinicians have the CMS telehealth indicator.

42.6% of these 324 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (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 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 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $48.00.

Manufacturer Payment Nature Product Type Amount ($)
MicroVention, Inc.
Food and Beverage
In-kind items and services
WEB ANEURYSM EMBOLIZATION SYSTEM General $48.00

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 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
77001 Fluoroscopic guidance for insertion or removal of central vein access device
76 72 $62.00 $14.73
32555 Aspiration of fluid from chest cavity using imaging guidance
75 68 $967.00 $88.82
76937 Ultrasonic guidance for blood vessel access
66 63 $48.00 $11.38
49083 Drainage of fluid from abdominal cavity using imaging guidance
58 42 $366.00 $86.08
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
47 35 $130.00 $40.95
99152 Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
38 38 $42.00 $9.98
36561 Insertion of central venous tube with port (5 years or older)
32 32 $1146.00 $271.86
36558 Insertion of tunneled central venous tube for infusion (5 years or older)
24 23 $887.00 $212.62
10005 Fine needle aspiration biopsy using ultrasound guidance, first growth
22 21 $246.00 $60.27
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)
16 15 $330.00 $69.04
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance
16 16 $304.00 $70.43
36590 Removal of central venous tube with port or pump
13 13 $645.00 $145.16

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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WA PA10005095

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 WA PA10005095
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: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Labor And Industries-Tra
0215666 (WA)
Other Identifier Medicare Pin-Tra King
8862653 (WA)
Other Identifier Labor And Industries Crime Victims-Tra
8943157 (WA)
Other Identifier Rr Medicare-Tra
P00428602 (WA)
Other Identifier Medicare Pin-Tra Pierce
8862652 (WA)
Other Identifier Medicare Pin-Union Avenue Open Mri
8862654 (WA)
Other Identifier Labor And Industries-Medical Imaging On 1st
0249530 (WA)
Other Identifier Labor And Industries Crime Victims-Medical Imaging On 1st
8951854 (WA)

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

I20070109000136

Enrollment State Jurisdiction

WA

PECOS Control ID

5294735668

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

Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance

222 15th Ave Se, Puyallup, WA 983723754

Phone: 2538414353

Tra-Minw P S

407 14th Ave Se, Puyallup, WA 983723770

Phone: 2538414353

Tra-Minw P S

34515 9th Ave S, Federal Way, WA 980036761

Phone: 2538414353

Tra-Minw P S

3402 S 18th St, Tacoma, WA 984051903

Phone: 2538414353

Clinicians Sharing This Practice Address or Phone

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

40 listed
Dr. Hanni Laura Aaltonen , MD, PhD

Radiology - Diagnostic Radiology

NPI 1558922047

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Johan Ahn , MD

Radiology - Diagnostic Radiology

NPI 1972546240

Doctor of Medicine (M.D.)

Dr. Gensuke Akaike , MD

Radiology - Diagnostic Radiology

NPI 1841658598

Doctor of Medicine (M.D.)

Dr. Ata Alijani , MD

Radiology - Diagnostic Radiology

NPI 1740470855

Doctor of Medicine (M.D.)

Dr. Jaime All , MD

Radiology - Vascular & Interventional Radiology

NPI 1467681957

Doctor of Medicine (M.D.)

Dr. Patrick Bacon , MD

Radiology - Diagnostic Radiology

NPI 1477866739

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
โœ…
NPI Profile Active January 31, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location January 31, 2017

Registered at 1304 FAWCETT AVE, SUITE 100, TACOMA, WA 984021911 (Tel: 2537614200)

๐Ÿ“
Updated Business Mailing Address January 31, 2017

Registered at PO BOX 1535, TACOMA, WA 984011535 (Tel: 2537614200)

๐Ÿ‘ค
Provider Name / Credentials Updated January 31, 2017

Recorded as DOUGLAS MOORE, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2017

Physician Assistant (license number reported to NPPES: WA PA10005095)

โœ…
NPI Profile Active February 02, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) February 02, 2016

Registered at 1304 FAWCETT AVE, SUITE 100, TACOMA, WA 984021911 (Tel: 2537614200)

๐Ÿ“
Business Mailing Address (Initial Record) February 02, 2016

Registered at PO BOX 1535, TACOMA, WA 984011535 (Tel: 2537614200)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) February 02, 2016

Recorded as DOUGLAS MOORE, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2016

Physician Assistant (license number reported to NPPES: WA PA10005095)

๐ŸŸข
Initial NPI Registration & Enumeration December 01, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1790853422
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2006
Last Update: January 31, 2017
Sole Proprietor: No

Other Physician Assistants in Tacoma

All Physician Assistants in Tacoma

Mailing Address

Po Box 1535

Tacoma, WA 984011535

Phone: 2537614200

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.