Madeline Moore, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11335 Issued in TX

Practice address

2535 Ira E Woods Ave
Grapevine, TX 76051

Phone

(817) 481-2121

Fax

(817) 488-4493

NPI assigned

Jun 12, 2017

Last updated

Apr 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthotx PLLCGroup PAC ID 9739161704, 83 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Medical Center at Trophy Club Hospital, Trophy Club, TX, CCN 450883

Merit-based Incentive Payment System (MIPS)

Final score

90.54 of 100Reported as group

Quality

92.07

Promoting interoperability

83

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: madeline.moore.1@20300.direct.athenahealth.com
• Direct secure messaging: madeline.moore.2@15749.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthotx, PLLC

  dba Arlington Orthopedic Associates, PLLC

  • Orthopaedic Surgery Physician
  • Arlington, TX
  • NPI 1336134469
  Medicare reassignment Care Compare group NPD
• Nto Physician Partners, PLLC

  dba North Texas Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Grapevine, TX
  • NPI 1306914312
  Medicare reassignment
• Nto Physician Partners, PLLC

  • Orthopaedic Surgery Physician
  • Grapevine, TX
  • NPI 1114443181
  NPD
• Orthotx, PLLC

  dba North Texas Orthopedics & Spine Center

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
  • NPI 1831919679
  NPD
• Healthtexas Provider Network

  • Durable Medical Equipment & Medical Supplies
  • Grapevine, TX
  • NPI 1265368773
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Trophy Club Medical Center LP

  dba Baylor Scott & White Medical Center - Trophy Club

  • General Acute Care Hospital
  • Trophy Club, TX
  • NPI 1982609558
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1225567399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513930",
            "telephone_number": "817-481-2121",
            "fax_number": "817-488-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "817-481-2121",
            "fax_number": "817-488-4493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Heritage Trace Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762448940",
            "country_code": "US",
            "telephone_number": "817-481-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MADELINE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "PA11335",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Montminy, OTR
• Gloria Moody, M.D.
• Moon Pediatric Therapy & Consulting
• Meredith Michelle Moon, OTR/L
• Elizabeth Moore
• Natalie Marie Moore, D.C.
• Philip Alan Moore, M.D.
• Ian W Mora, PT
• Mariana Morales-Najera, PT, DPT
• More to Say Speech Therapy PLLC

• Physician Assistant in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.