Tina Ann Wilkinson Moore, PA
NPI 1124013198ActiveIndividual· Physician Assistant· Willow Park, TX
Physician Assistant (PA) with Primary Health Physicians PLLC, practicing in Willow Park, Texas. 21 Medicare patients in 2024, $1,944 paid; nearly all of their 110 Part D prescriptions were generic (94%).
Overview
| NPI | 1124013198 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 15, 2005 |
| Last updated in NPPES | Jan 28, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA03112 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 42 across 9 procedure codes |
| Paid by Medicare | $1,944 |
Part D prescriptions in 2024
| Prescriptions (claims) | 110 · 111 30-day fills |
|---|---|
| Patients | 85 |
| Total drug cost | $944.53 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Primary Health Physicians PLLCKeller, TX · 239 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Willow Park
- 1275188708
- 1033424189
- 1396051926
- 1790146520