EXCLUDEDPROVIDER
Individual Drug Misdemeanor

Phoebe C Moore

Ilion, NY 13357

Public HHS-OIG LEIE exclusion record

Phoebe C Moore of Ilion, NY is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1245285428 with a primary specialty of Physician Assistant. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Phoebe C Moore is currently excluded from participation in federally funded health care programs due to misdemeanor conviction relating to controlled substance, as of September 20, 2015.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Ilion, NY 13357
Exclusion date
September 20, 2015
Exclusion type
Drug Misdemeanor (1128b3)
NPI
1245285428

Record summary

Phoebe C Moore appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Ilion, New York. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is September 20, 2015, and the exclusion type is 1128b3, identified by HHS-OIG as misdemeanor conviction relating to controlled substance.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateSeptember 20, 2015
Exclusion typeMisdemeanor conviction relating to controlled substance (1128b3)
NPI1245285428
UPINP10640
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b3 as “Misdemeanor conviction relating to controlled substance.” Misdemeanor conviction relating to a controlled substance (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Ilion, NY 13357. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Physician Assistant.

NPI Registry context

The LEIE record lists NPI 1245285428. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Physician Assistant (363A00000X). Registered practice location: Cooperstown, NY. NPI enumeration date: May 24, 2006. NPPES status: Active. The NPI Registry lists credential: P.A..

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in Ilion, NY

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Ilion, NY address.

Jordan M Gonzalez Individual Patient Abuse
Ilion, NY · Conviction relating to patient abuse or neglect · Excluded Jan 2017
Renee Geloso Individual Patient Abuse
Ilion, NY · Conviction relating to patient abuse or neglect · Excluded Jan 2017
Charlynne S Harter Individual Patient Abuse
Ilion, NY · Conviction relating to patient abuse or neglect · Excluded Oct 2001
Raymond Michael Brayton Individual Revocation
Ilion, NY · License revocation, suspension, or surrender · Excluded Sep 1999

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

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