npidexNPI registry + Medicare data

DERONNA MOORE, PA

Physician Assistant · KINGSPORT, TN

Individual Active NPI 1487067534

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024122557$42,356$15,346$11,562
2023143850$47,348$19,432$15,281
2022213809$64,348$28,345$22,680

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
J1100Injection, dexamethasone sodium phosphate, 1 mg155$0$0
J0696Injection, ceftriaxone sodium, per 250 mg92$0$0
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more78$71$48
96372Injection of drug or substance under skin or into muscle47$11$7
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen37$49$49
87502Detection test by nucleic acid for multiple types influenza virus25$91$91
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more24$88$46
81003Automated urinalysis test21$2$2
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more14$95$64

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Physician Assistant363A00000X✓2543TN
Physician Assistant363A00000X0110009681VA
Physician Assistant363A00000X1903KY

Medicare participation

Enrolled in Medicare

CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.

Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Other Physician Assistant providers in Tennessee

See all Physician Assistant providers in Tennessee →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.