Charlene K. Moore, PA-C
NPI 1639325376ActiveIndividual· Physician Assistant· Port St Lucie, FL
Physician Assistant (PA-C) in Port St Lucie, Florida, licensed in FL and OH, with an NPI issued in August 2008. 89 Medicare patients in 2024, $40,500 paid; nearly all of their 232 Part D prescriptions were generic (96%). Pfizer Inc. reported $19.91 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1639325376 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 13, 2008 |
| Last updated in NPPES | Dec 23, 2022 |
| Certified by provider | Dec 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA9107673 | FL |
| Physician Assistant | 363A00000X | 50002517 | OH |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 89 |
|---|---|
| Services billed | 3,116 across 34 procedure codes |
| Paid by Medicare | $40,500 |
Part D prescriptions in 2024
| Prescriptions (claims) | 232 · 249 30-day fills |
|---|---|
| Patients | 108 |
| Total drug cost | $8,428 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Physician Assistant |
Industry payments (Open Payments)
- 2025$19.91 · 1 payment from 1 company
- 2024$36.28 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $19.91 | 1 |
What the 2025 payments were for
- Food and Beverage$19.91 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 45 physician assistants in Port St Lucie · All physician assistants in Florida