Doctor profile · Federal record
Dr. Kelly Moores, PA-C
Surgical Physician Assistant (CMS: Physician Assistant) · Lakeland, FL
- NPI 1417937194
- Accepts Medicare
- MIPS 77.7 / 100 · 2023
- 31 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2400 Kathleen RD
Lakeland, FL 338103077
(863) 687-1250 - Additional location
-
3030 Harden Blvd
Lakeland, FL 338037952
fax (863) 687-1258 - Mailing address
-
1324 Lakeland Hills Blvd, Attn: Managed Care Dept
Lakeland, FL 338054543
Credentials & registration
- NPI registered
- January 2006 — 20 yrs on file
- Profile last updated
- February 11, 2026
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1417937194. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,796
Distinct HCPCS
8
Medicare allowed
$54,091
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,181 | 79 | $1 | |
20610 |
Aspiration and/or injection of fluid from large joint | 224 | 105 | $67 | |
J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 122 | 28 | $127 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 102 | 77 | $107 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 73 | 54 | $75 | |
73564 |
X-ray of knee, 4 or more views | 44 | 33 | $36 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $141 | |
73030 |
X-ray of shoulder, minimum of 2 views | 22 | 19 | $25 |
In context: peer comparison
Among 10 peers in Lakeland Surgical Physician Assistant, average services per provider: 120. This provider delivers 15× the peer median.Open Payments
Industry payments received
All-time total
$108
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Radius Health, INC. | 1 | $108.11 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
41
Patients
35
Total drug cost
$876
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Celecoxib | Generic | 41 | 35 | $876 |
Hospital affiliations
Frequently asked questions
What is Dr. Kelly Moores's medical specialty?
Dr. Kelly Moores practices Surgical Physician Assistant in Lakeland, FL.
Where does Dr. Kelly Moores practice?
Dr. Kelly Moores practices at 2400 Kathleen RD, Lakeland, FL 338103077. Office phone: 8636871250.
What is Dr. Kelly Moores's NPI?
Dr. Kelly Moores's National Provider Identifier (NPI) is 1417937194, issued by NPPES.
Does Dr. Kelly Moores accept Medicare assignment?
Yes. Dr. Kelly Moores accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Moores commonly perform?
Top Medicare-reported procedures in 2023: Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); Aspiration and/or injection of fluid from large joint (HCPCS 20610); Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose (HCPCS J7323). Source: CMS Medicare Physician & Other Practitioners file.