BRIAN MOORE (OD) – Optometrist, NPI 1033420575

BRIAN MOORE (OD) is a healthcare provider. based in Springfield, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046010353 (IL). The NPI Number for BRIAN MOORE (OD) is 1033420575

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN MOORE (OD)
NPI
1033420575
Phone
(217) 698-3030
Address
2020 W ILES AVE
Enumeration Date
30 June 2010
Last Update Date
30 June 2010

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
2175323036
Graduation Year
2010 (16 years ago)
PAC ID
9537354956
Group Practice PAC ID
6507779824
Professional Enrollment ID
I20101111000523
Address ID
IL620492007HI200XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for BRIAN MOORE (OD)

  • 2020 W ILES AVE

    SPRINGFIELD, IL 627047015

    Phone: (217) 698-3030

    Fax: (217) 698-3068

    Type: Mailing

  • 200 E MECHANIC ST

    HILLSBORO, IL 620492007

    Phone: (217) 532-3036

    Fax: (217) 532-6623

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $859.

Total Amount is formed as General ($859) + Research ($0) + Ownership ($0) = $859.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($282).

Total Amount

$859

General + Research + Ownership

Payments

23

Total payment records

General Amount

$859

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2010-11-11

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
I20101111000523IOptometryILTBD

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
83861Microfluid analysis of tears370145$0
92014Established patient complete exam of visual system271269$0
92012Established patient problem focused exam of visual system174152$0
92083Exam of visual field with extended testing10985$0
92133Imaging of optic nerve9389$0
View full utilization report →

Insurance plans in this area (ZIP 62704)

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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: 6507779824View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P H T H A L M O L O G YMD
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YNC

Reviews

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Frequently asked questions

What federal number belongs to BRIAN MOORE (OD)?
The federal identifier for BRIAN MOORE (OD) is NPI 1033420575.
Is BRIAN MOORE (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is BRIAN MOORE (OD)?
The page reflects Optometrist for BRIAN MOORE (OD). Clinical services aligned with this taxonomy classification.
Does BRIAN MOORE (OD) practice in Illinois?
You will see Springfield, Illinois on file for BRIAN MOORE (OD) alongside any extra practice locations.
Is BRIAN MOORE (OD) a real provider?
This page reflects official NPPES data for NPI 1033420575. Always confirm identity and privileges with the practice and licensing boards.

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