Individual provider Active NPI

Jon M Moore, MD

  • Surgery Physician
  • Pensacola, FL
National Provider Identifier
1568429462
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME108460 Issued in FL
Practice address
2130 E Johnson Ave Ste 130
Pensacola, FL 32514-6065
Phone
(850) 494-3749
Fax
(850) 494-3974
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME108460 FL Primary

Addresses

Primary practice location

2130 E Johnson Ave Ste 130
Pensacola, FL 32514-6065

Mailing address

2130 E Johnson Ave Ste 130
Pensacola, FL 32514-6065
Phone (850) 494-3749

Other identifiers 1

IdentifierTypeStateIssuer
003228100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JON.MOORE@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110311000488 FL Practitioner - General Surgery 4486658309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Specialty Physicians LLCGroup PAC ID 6002943198, 17 clinicians

Practice addresses (Care Compare)

8333 N Davis Hwy
Pensacola, FL 32514-6050

8383 N Davis Hwy
Pensacola, FL 32514-6039
Phone (850) 494-3953

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.07 of 100Reported as individual
Quality
78.91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)32
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux17
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Specialty Physicians LLC CurrentSince Jan 1, 2011 Accepting new patients
Dr. Jon M Moore, an Operating Division of Saint John Hospital Surgery Past Accepting new patients

Locations

2120 E Johnson Ave
Ste 101
Pensacola, FL 32514
Phone (850) 494-3749

2130 E Johnson Ave
Ste 130
Pensacola, FL 32514
Phone (850) 494-3749

8333 N Davis Hwy
Fl 4
Pensacola, FL 32514
Phone (850) 474-8610

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jon.moore@hca5.eclinicaldirectplus.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1568429462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 E JOHNSON AVE STE 130",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146065",
            "telephone_number": "850-494-3749",
            "fax_number": "850-494-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 E JOHNSON AVE STE 130",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146065",
            "telephone_number": "850-494-3749",
            "fax_number": "850-494-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME108460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003228100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JON.MOORE@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2120 E Johnson Ave",
            "address_2": "SUITE 101",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325146036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.