STEPHANIE STANLEY MOSS (OD) – Optometrist, NPI 1043747595

STEPHANIE STANLEY MOSS (OD) is a healthcare provider. based in Fayetteville, Arkansas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2955 (OK). The NPI Number for STEPHANIE STANLEY MOSS (OD) is 1043747595

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE STANLEY MOSS (OD)
NPI
1043747595
Phone
(479) 443-4301
Address
1100 N College Ave
Enumeration Date
15 May 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4797561234
Graduation Year
2017 (9 years ago)
PAC ID
0941566947
Group Practice PAC ID
6002071115
Professional Enrollment ID
I20180627003190
Address ID
AR727625223SP1600XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

422 OPTOMETRY in AR

Provider Addresses for STEPHANIE STANLEY MOSS (OD)

  • 1100 N College Ave

    Fayetteville, AR 727031944

    Phone: (479) 443-4301

    Fax: (479) 587-6105

    Type: Location

  • BoozmanHof Regional Eye Clinic, 3737, West Walnut Street, Rogers, Benton County, Arkansas, 72756, United States

    ROGERS, AR 727561839

    Phone: (479) 246-1700

    Fax: (479) 631-2629

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $1,108.

Total Amount is formed as General ($1,108) + Research ($0) + Ownership ($0) = $1,108.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($321).

Total Amount

$1,108

General + Research + Ownership

Payments

37

Total payment records

General Amount

$1,108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171108000162IOptometryTXTBD
I20180627003190IOptometryARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system355349$0
99213Established patient office or other outpatient visit, 20-29 minutes254191$0
92083Exam of visual field with extended testing201165$0
92133Imaging of optic nerve158158$0
92134Imaging of retina10586$0
View full utilization report →

Insurance plans in this area (ZIP 72703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002071115View full group profile
NameSpecialtyState
O P T O M E T R YAR
O P T O M E T R YAR
O P T O M E T R YAR

Reviews

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Frequently asked questions

Does STEPHANIE STANLEY MOSS (OD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — STEPHANIE STANLEY MOSS (OD) uses 1043747595.
Can I rely on STEPHANIE STANLEY MOSS (OD) being an active provider?
As of the registry snapshot, STEPHANIE STANLEY MOSS (OD) is marked active.
What is STEPHANIE STANLEY MOSS (OD) best known for clinically?
Directory data describes STEPHANIE STANLEY MOSS (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect STEPHANIE STANLEY MOSS (OD) on a map?
Expect Fayetteville, Arkansas as a primary anchor for STEPHANIE STANLEY MOSS (OD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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