Glen Moore, PA-C
NPI 1922404623 · Medical Physician Assistant · Lakewood, CO
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Glen Moore, PA-C is a Medical Physician Assistant provider in Lakewood, CO (NPI 1922404623).
Provider details
- NPI number
- 1922404623
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA0004150 (CO)
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 tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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 methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 76 | 75 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 70 | 67 |
| Triamcinolone Acetonide | 37 | 23 |
| Doxycycline Hyclate | 34 | 33 |
| Doxycycline Monohydrate | 30 | 30 |
| Cefuroxime Axetilbrand: Cefuroxime | 29 | 29 |
| Oxycodone Hcl | 26 |
Practice location
Mailing address
Additional practice locations (1)
- 10350 E Dakota AveDenver, CO 80247-1314Phone: (303) 338-4545
Registry dates
- Enumerated
- 2014-11-07
- Last updated
- 2022-11-02
- Certified
- 2022-11-02
Frequently asked questions
- What is Glen Moore's NPI number?
- Glen Moore's National Provider Identifier (NPI) is 1922404623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glen Moore's specialty?
- Glen Moore is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Glen Moore located?
- Glen Moore's practice location on file with NPPES is 8383 W Alameda Ave, Lakewood, CO 80226-3007.
- What is Glen Moore's phone number?
- The practice phone number listed in the NPPES registry for Glen Moore is (303) 338-4545.
- Does Glen Moore accept Medicare?
- Glen Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Glen Moore's NPI active?
- Yes — Glen Moore's NPI (1922404623) is active in the NPPES registry as of the last update on 2022-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.