Doctor profile · Federal record

Dr. Johnathan Moore, PA

Physician Assistant · Danielson, CT

  • NPI 1467112250
  • Accepts Medicare
  • MIPS 54.9 / 100 · 2023
  • 4 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
55 Green Hollow RD
Danielson, CT 062393533
(860) 779-1865
Additional location
900 Washington RD
West Point, NY 109961109
(845) 938-0482
Mailing address
325 N James St Apt 2
Peekskill, NY 105662486

Credentials & registration

NPPES · NUCC
NPI registered
December 2021 — 5 yrs on file
Profile last updated
August 23, 2022
Year of graduation
2022 — 4 yrs since
Specialty taxonomy
363A00000X — NUCC code

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1467112250. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
538
Distinct HCPCS
9
Medicare allowed
$28,041
HCPCS Description Services Patients Avg allowed
17003 Destruction of precancer skin growth, 2-14 growths 180 33 $6
99213 Established patient office or other outpatient visit, 20-29 minutes 125 79 $80
17000 Destruction of precancer skin growth, 1 growth 49 41 $48
99212 Established patient office or other outpatient visit, 10-19 minutes 43 35 $51
11102 Biopsy of related skin growth, first growth 34 30 $94
99214 Established patient office or other outpatient visit, 30-39 minutes 33 27 $114
99203 New patient office or other outpatient visit, 30-44 minutes 28 28 $101
96372 Injection of drug or substance under skin or into muscle 24 12 $13
17110 Destruction of skin growth, 1-14 growths 22 12 $103

In context: peer comparison

Among 2 peers in this city , average services per provider: 67. This provider delivers 8.0× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$2,795
Transactions
151
Manufacturers
15
Payer (manufacturer) Industry Txns Amount
ABBVIE INC. 32 $516.91
Janssen Biotech, Inc. 26 $449.04
E.R. Squibb & Sons, L.L.C. 18 $380.70
Amgen Inc. 13 $251.96
Arcutis Biotherapeutics, Inc. 14 $227.75
GENZYME CORPORATION 10 $203.98
Regeneron Healthcare Solutions, Inc. 7 $198.91
UCB, Inc. 11 $159.46
Ortho Dermatologics, a division of Bausch Health US, LLC 9 $147.61
PFIZER INC. 3 $74.12
Lilly USA, LLC 3 $51.74
LEO Pharma Inc. 2 $48.14
Galderma Laboratories, L.P. 1 $32.96
Dermavant Sciences, Inc. 1 $27.74
SUN PHARMACEUTICAL INDUSTRIES INC. 1 $24.28

By nature of payment

Food and Beverage
$2,641
Education
$154

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
373
Patients
164
Total drug cost
$478,489
Drug Type Claims Patients Total cost
Clobetasol Propionate Generic 62 46 $3,399
Ketoconazole Generic 57 34 $1,072
Triamcinolone Acetonide Generic 44 36 $667
Doxycycline Hyclate Generic 27 0 $1,087
Desoximetasone Generic 22 11 $1,483
Doxycycline Ir-Dr (Doxycycline Monohydrate) Brand 21 0 $10,434
Terbinafine Hcl Generic 21 11 $185
Minocycline Hcl Generic 20 13 $317
Skyrizi Pen (Risankizumab-Rzaa) Brand 17 0 $367,955
Ammonium Lactate Generic 16 13 $461

Frequently asked questions

Auto-generated from federal data
What is Dr. Johnathan Moore's medical specialty?
Dr. Johnathan Moore practices Physician Assistant in Danielson, CT.
Where does Dr. Johnathan Moore practice?
Dr. Johnathan Moore practices at 55 Green Hollow RD, Danielson, CT 062393533. Office phone: 8607791865.
What is Dr. Johnathan Moore's NPI?
Dr. Johnathan Moore's National Provider Identifier (NPI) is 1467112250, issued by NPPES.
Does Dr. Johnathan Moore accept Medicare assignment?
Yes. Dr. Johnathan Moore accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Johnathan Moore commonly perform?
Top Medicare-reported procedures in 2023: Destruction of precancer skin growth, 2-14 growths (HCPCS 17003); Established patient office or other outpatient visit (HCPCS 99213); Destruction of precancer skin growth, 1 growth (HCPCS 17000). Source: CMS Medicare Physician & Other Practitioners file.