MICHELLE ROSE MOSCOW (OD) – Optometrist, NPI 1598285447

MICHELLE ROSE MOSCOW (OD) is a healthcare provider. based in Roswell, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 003028 (GA). The NPI Number for MICHELLE ROSE MOSCOW (OD) is 1598285447

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE ROSE MOSCOW (OD)
NPI
1598285447
Phone
(770) 992-7620
Address
1190 GRIMES BRIDGE RD
Enumeration Date
21 June 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
7709927620
Graduation Year
2017 (9 years ago)
PAC ID
2062788664
Group Practice PAC ID
7214119114
Professional Enrollment ID
I20171026002051
Address ID
GA300753955RO1190XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

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Provider Addresses for MICHELLE ROSE MOSCOW (OD)

  • 1190, Grimes Bridge Road, Roswell, Fulton County, Georgia, 30075, United States

    ROSWELL, GA 300753930

    Phone: (770) 992-7620

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 82 Open Payments records for all available years, with a total value of $3,504.

Total Amount is formed as General ($3,504) + Research ($0) + Ownership ($0) = $3,504.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($1,069).

Total Amount

$3,504

General + Research + Ownership

Payments

82

Total payment records

General Amount

$3,504

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2017-10-26

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
I20171026002051IOptometryGATBD

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 system8383$0
99213Established patient office or other outpatient visit, 20-29 minutes6449$0
92134Imaging of retina1614$0
99214Established patient office or other outpatient visit, 30-39 minutes1312$0
92004New patient complete exam of visual system1212$0
View full utilization report →

Insurance plans in this area (ZIP 30075)

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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: 7214119114View full group profile
NameSpecialtyState
-GA
O P T O M E T R YGA
O P T O M E T R YGA
-MD
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA

Reviews

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Frequently asked questions

What federal number belongs to MICHELLE ROSE MOSCOW (OD)?
The federal identifier for MICHELLE ROSE MOSCOW (OD) is NPI 1598285447.
Is MICHELLE ROSE MOSCOW (OD)'s NPI currently valid?
The extract we use shows MICHELLE ROSE MOSCOW (OD) as active.
Does MICHELLE ROSE MOSCOW (OD) list a primary specialty?
If you are matching referrals, note Optometrist for MICHELLE ROSE MOSCOW (OD). Clinical services aligned with this taxonomy classification.
Does MICHELLE ROSE MOSCOW (OD) practice in Georgia?
You will see Roswell, Georgia on file for MICHELLE ROSE MOSCOW (OD) alongside any extra practice locations.
How can I contact MICHELLE ROSE MOSCOW (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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