Johnathan Moore, PA
NPI 1467112250 · Physician Assistant · Danielson, CT
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Johnathan Moore, PA is a Physician Assistant provider in Danielson, CT (NPI 1467112250).
Provider details
- NPI number
- 1467112250
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
4 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
635 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 189 | $80 |
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 146 | $6 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 87 | $114 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 69 | $53 |
| Biopsy of Related Skin Growth, First Growth11102 | 51 | $90 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ketoconazole | 158 | 79 |
| Clobetasol Propionate | 128 | 74 |
| Triamcinolone Acetonide | 45 | 37 |
| Terbinafine Hcl | 45 | 20 |
| Hydrocortisone | 45 | 25 |
| Fluorouracil | 36 | 30 |
| Dupilumabbrand: Dupixent Pen | 30 | — |
| Tacrolimus | 22 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,795 across 151 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 900 Washington RdWest Point, NY 10996-1109Phone: (845) 938-0482
Registry dates
- Enumerated
- 2021-12-21
- Last updated
- 2022-08-23
- Certified
- 2022-08-23
Frequently asked questions
- What is Johnathan Moore's NPI number?
- Johnathan Moore's National Provider Identifier (NPI) is 1467112250, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johnathan Moore's specialty?
- Johnathan Moore is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Johnathan Moore located?
- Johnathan Moore's practice location on file with NPPES is 55 Green Hollow Rd, Danielson, CT 06239-3533.
- What is Johnathan Moore's phone number?
- The practice phone number listed in the NPPES registry for Johnathan Moore is (860) 779-1865.
- Does Johnathan Moore accept Medicare?
- Johnathan Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Johnathan Moore's NPI active?
- Yes — Johnathan Moore's NPI (1467112250) is active in the NPPES registry as of the last update on 2022-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.