TIFFANY V MOONEY (OD) – Optometrist, NPI 1316406945

TIFFANY V MOONEY (OD) is a healthcare provider. based in Little rock, Arkansas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2791 (AR). The NPI Number for TIFFANY V MOONEY (OD) is 1316406945

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY V MOONEY (OD)
NPI
1316406945
Phone
(501) 224-5658
Address
201 EXECUTIVE CT STE A
Enumeration Date
13 March 2019
Last Update Date
5 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5012245658
Graduation Year
2018 (8 years ago)
PAC ID
6709129729
Group Practice PAC ID
3476535121
Professional Enrollment ID
I20190515000596
Address ID
AR722122458LI4200XRDXX501

Contacts

Other Endpoint
other
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

422 OPTOMETRY in AR

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Provider Addresses for TIFFANY V MOONEY (OD)

  • 201 EXECUTIVE CT STE A

    LITTLE ROCK, AR 722054536

    Phone: (501) 224-5658

    Fax: (501) 224-8114

    Type: Mailing

  • Richards Road, Kwolyin, Shire Of Bruce Rock, Western Australia, 6385, Australia

    NORTH LITTLE ROCK, AR 721172652

    Phone: (501) 224-5658

    Fax: (501) 224-8114

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $1,555.

Total Amount is formed as General ($1,555) + Research ($0) + Ownership ($0) = $1,555.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($288).

Total Amount

$1,555

General + Research + Ownership

Payments

59

Total payment records

General Amount

$1,555

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2019-05-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20190515000596IOptometryARTBD

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 system206204$0
99213Established patient office or other outpatient visit, 20-29 minutes150130$0
92134Imaging of retina4544$0
92004New patient complete exam of visual system4040$0
99212Established patient office or other outpatient visit, 10-19 minutes2624$0
View full utilization report →

Insurance plans in this area (ZIP 72205)

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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: 3476535121View full group profile
NameSpecialtyState
O P H T H A L M O L O G YAR
O P T O M E T R YAR
O P H T H A L M O L O G YAR
O P T O M E T R YAR
O P H T H A L M O L O G YAR
O P T O M E T R YAR
O P T O M E T R YAR
-AR
O P H T H A L M O L O G YOK
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

What NPI should I save for TIFFANY V MOONEY (OD)?
Save NPI 1316406945 if you need a stable reference for TIFFANY V MOONEY (OD).
Is TIFFANY V MOONEY (OD) currently active in the NPI registry?
CMS-published data lists TIFFANY V MOONEY (OD) as an active registrant.
What does TIFFANY V MOONEY (OD) treat or focus on?
Patients typically see TIFFANY V MOONEY (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place TIFFANY V MOONEY (OD)?
The snapshot lists Little Rock, Arkansas for TIFFANY V MOONEY (OD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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