STEPHANIE QUESADA MOORE (OD) – Optometrist, NPI 1215385364
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,055 OPTOMETRY in FL
Provider Addresses for STEPHANIE QUESADA MOORE (OD)
2638 JENKS AVE
PANAMA CITY, FL 324054387
Phone: (850) 215-2020
Fax: (850) 215-2031
Type: Location
426 W 23rd St
Panama City, FL 324054508
Phone: (850) 215-2020
Fax: (850) 215-2031
Type: Location
West 23rd Street, Panama City, Bay County, Florida, 32405, United States
PANAMA CITY, FL 324054508
Phone: (850) 215-2020
Fax: (850) 215-2031
Type: Location
Beachcomber Drive, Lynn Haven, Bay County, Florida, 32444, United States
LYNN HAVEN, FL 324443420
Phone: (850) 866-8472
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $174.
Total Amount is formed as General ($174) + Research ($0) + Ownership ($0) = $174.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($115).
Total Amount
$174
General + Research + Ownership
Payments
4
Total payment records
General Amount
$174
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SUN PHARMACEUTICAL INDUSTRIES INC. | $115 |
| Bausch & Lomb Americas Inc. | $43 |
| Alcon Vision LLC | $16 |
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: 2016-09-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160908000561 | I | Optometry | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 177 | 144 | $0 |
| 92250 | Photography of the retina | 134 | 130 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 73 | $0 |
| 92012 | Established patient problem focused exam of visual system | 54 | 46 | $0 |
| 92082 | Exam of visual field with intermediate testing | 35 | 35 | $0 |
Insurance plans in this area (ZIP 32405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL |
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