Evan Moore
NPI 1376315614ActiveIndividual· Physician Assistant· Brawley, CA
Physician Assistant in Brawley, California, licensed in CA, with an NPI issued in October 2023. 114 Medicare patients in 2024, $11,542 paid; nearly all of their 89 Part D prescriptions were generic (94%).
Overview
| NPI | 1376315614 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Oct 30, 2023 |
| Last updated in NPPES | Jan 19, 2024 |
| Certified by provider | Jan 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA63931 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 114 |
|---|---|
| Services billed | 174 across 27 procedure codes |
| Paid by Medicare | $11,542 |
Part D prescriptions in 2024
| Prescriptions (claims) | 89 · 89 30-day fills |
|---|---|
| Patients | 79 |
| Total drug cost | $1,356 |
| Generic share | 94% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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