Jason Robert Moore, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA.0009254 Issued in CO

Practice address

10099 Ridgegate Pkwy Ste 310
Lone Tree, CO 80124-5534

Phone

(303) 790-1800

Fax

(303) 790-1809

NPI assigned

Jun 13, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Front Range Spine and NeurosurgeryGroup PAC ID 7214966720, 12 clinicians

Select Physical Therapy of Colorado Springs LPGroup PAC ID 3971498197, shared by 2 NPIs, 84 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• AdventHealth Parker Hospital, Parker, CO, CCN 060114
• Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125
• Sky Ridge Medical Center Hospital, Lone Tree, CO, CCN 060112

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Front Range Spine and Neurosurgery

  • Neurological Surgery Physician
  • Lone Tree, CO
  • NPI 1730369323
  Medicare reassignment Care Compare group NPD

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

• HCA Healthone LLC

  • General Acute Care Hospital
  • Lone Tree, CO
  • NPI 1659325629
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Aurora, CO
  • NPI 1083461438
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Aurora, CO
  • NPI 1265072706
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Parker, CO
  • NPI 1386651297
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Parker, CO
  • NPI 1457148140
  Care Compare affiliation
• Portercare Adventist Health System

  • Emergency Care Clinic/Center
  • Aurora, CO
  • NPI 1740820356

  Hospital

  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Castle Rock, CO
  • NPI 1912249590
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Aurora, CO
  • NPI 1922648534
  Care Compare affiliation

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1831085174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10099 RIDGEGATE PKWY STE 310",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245534",
            "telephone_number": "303-790-1800",
            "fax_number": "303-790-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10099 RIDGEGATE PKWY STE 310",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245534",
            "telephone_number": "303-790-1800",
            "fax_number": "303-790-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0009254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Blair Montag, PNP
• Sonia Mookherjea
• Jeffrey Saba Moon, PHARM.D
• Ashley Lambert Moore, RN
• Christopher C Moore, C-APN
• Joyce Moore, M.D.
• Laura Moore, APRN
• Mollie Etta Moore
• Theodore English Moore, DDS MS
• Alexandra P Moran, DO

• Surgical Physician Assistant in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.