MR. CLIFFORD ANDREW MOORE NP
NPI 1497389811
Nurse Practitioner - Acute Care in Clackamas, OR
NPI Status: Active since February 25, 2020
Contact Information
10180 SE SUNNYSIDE RD
CLACKAMAS, OR
ZIP 97015
Phone: (210) 269-9289
- Individual
- Male
- Nurse Practitioner
- Acute Care
- Accepts Insurance
- PECOS Enrolled
About CLIFFORD MOORE
This page provides the complete NPI Profile along with additional information for Clifford Moore, a provider established in Clackamas, Oregon with a medical specialization in Nurse Practitioner, focusing in acute care . The healthcare provider is registered in the NPI registry with number 1497389811 assigned on February 2020. The practitioner's primary taxonomy code is 363LA2100X with license number AP61256697 (WA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1497389811
- Provider Name
- MR. CLIFFORD ANDREW MOORE NP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 10180 SE SUNNYSIDE RD CLACKAMAS, OR 97015
- Location Phone
- (210) 269-9289
- Mailing Address
- 10180 SE SUNNYSIDE RD CLACKAMAS, OR 97015
- Mailing Phone
- (210) 269-9289
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-25-2020
- Last Update Date
- 03-13-2022
- Code Navigator
A nurse practitioner (NP) like Clifford Moore is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 200 NE Mother Joseph Pl Ste 330
Vancouver, WA 98664
(360) 514-2990
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Acute Care
- Taxonomy Code
- 363LA2100X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- AP61256697
- License State
- WA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 202200913NP-PP (OR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- KP OR Bronze 6000 - EPO
- KP OR Bronze HSA 7100 - EPO
- KP OR Gold 0 - EPO
- KP OR Gold 1750 - EPO
- KP OR Silver 3000 - EPO
- KP OR Silver 4000 - EPO
- KP Oregon Standard Bronze Plan - EPO
- KP Oregon Standard Gold Plan - EPO
- KP Oregon Standard Silver Plan - EPO
- KP OR Family Dental - $100 Ded - EPO
- KP OR Family Dental - $1000 - EPO
- KP OR Family Dental - $1000/$50 Ded - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Clifford Moore is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 97015 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.51
- Minimum New Patient Price $58.99
- Maximum New Patient Price $176.88
- Average New Patient Copayment $22.62
- Minimum New Patient Copayment $14.74
- Maximum New Patient Copayment $44.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.51
- Minimum Established Patient Price $19.32
- Maximum Established Patient Price $144.79
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.83
- Maximum Established Patient Copayment $36.19
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 3 | 8 | 9 | 8 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 6 | 8 | 18 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 6 + 8 + 1 + 8 + 8 + 2 + 24 = 79 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 79 = 1 | 1 | ||||||||
The NPI number 1497389811 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508866203 | BRIAR ERTZ-BERGER MD Individual | Emergency Medicine | 10180 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 571-4410 |
| 1013990555 | DR. ALEXANDER MARSH MD Individual | Emergency Medicine (Emergency Medical Services) | 10180 SE SUNNYSIDE RD KAISER PERMANENTE CLACKAMAS, OR 97015 (503) 571-8488 |
| 1407826050 | PATRICIA S ROTTER M.D. Individual | Emergency Medicine | 10180 SE SUNNYSIDE RD EMERGENCY DEPARTMENT CLACKAMAS, OR 97015 (401) 636-1934 |
| 1225092505 | KRZYSZTOF JACEK OSTROWSKI MD Individual | Anesthesiology | 10180 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 571-2880 |
| 1629033329 | JOSEPH F EHLERS MD Individual | Emergency Medicine | 10180 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 571-4110 |
| 1801851746 | LISA A ASHCRAFT MD Individual | Internal Medicine | 10180 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 652-2880 |
| 1447204086 | DR. DANIEL J CONSTIEN M.D. Individual | Family Medicine | 10180 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 380-4319 |
| 1487609574 | ANNETTE VERA RIGGS M.D Individual | Emergency Medicine | 10180 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 813-3860 |
| 1336195858 | JESSICA BLAKE CRITCHFIELD PATEL MD Individual | Internal Medicine | 10180 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 652-2880 |
| 1225085665 | DR. CLAYTON THOMAS HORAN M.D. Individual | Anesthesiology | 10180 SE SUNNYSIDE RD SUNNYSIDE MEDICAL CENTER CLACKAMAS, OR 97015 (503) 652-2880 |
| 1366480618 | DR. JEAN CLAIRE HENDERSON M.D. Individual | Anesthesiology | 10180 SE SUNNYSIDE RD SUNNYSIDE MEDICAL CENTER CLACKAMAS, OR 97015 (503) 652-2880 |
| 1194766154 | DONALD P STUTZMAN MD Individual | Specialist | 10180 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 554-1187 |
| 1144262932 | DR. LESLIE A. O'MEARA M.D. Individual | Internal Medicine (Nephrology) | 10180 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 652-2880 |
| 1174550578 | KENNETH DEAN HOFFMAN CRNA Individual | Nurse Anesthetist, Certified Registered | 10180 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (971) 404-3366 |
| 1780699256 | DR. RICHARD ANTHONY MULARSKI MD, MCR, MSHS Individual | Internal Medicine (Pulmonary Disease) | 10180 SE SUNNYSIDE RD KAISER SUNNYSIDE MEDICAL CENTER - PULMONARY/CCM CLACKAMAS, OR 97015 (503) 652-2880 |
| 1710990247 | MARY C SANDERS NP Individual | Nurse Practitioner (Adult Health) | 10180 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 652-2880 |
| 1538172119 | WALTER L STANDRIDGE MD Individual | Psychiatry & Neurology (Psychiatry) | 10180 SE SUNNYSIDE RD WING A CLACKAMAS, OR 97015 (503) 571-0892 |
| 1023021516 | DR. ALEXANDER MICHAEL KOSITCH M.D. Individual | Internal Medicine | 10180 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 652-2880 |
| 1669485157 | DOROTHY MAY PAO M.D. Individual | Radiology (Diagnostic Radiology) | 10180 SE SUNNYSIDE RD KAISER SUNNYSIDE MEDICAL OFFICE CLACKAMAS, OR 97015 (503) 945-1440 |
| 1144233669 | DR. MELVYN GOLDSTEIN M.D. Individual | Anesthesiology | 10180 SE SUNNYSIDE RD CLACKAMAS, OR 97015 (503) 652-2880 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497389811, enumerated in the NPI registry as an "individual" on February 25, 2020
The provider is located at 10180 Se Sunnyside Rd Clackamas, Or 97015 and the phone number is (210) 269-9289
The provider's speciality is Nurse Practitioner with taxonomy code 363LA2100X with a focus in Acute Care
The provider might be accepting Accepts: Kaiser Permanente. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $90.51 with an average copayment of $22.62 for new patient appointments. Established patients should expect a typical charge of $103.51 and an average copayment of 25.87. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on February 25, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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