DR. DAVID EDGAR MOSSOP (OD) – Optometrist, NPI 1063273308

DR. DAVID EDGAR MOSSOP (OD) is a healthcare provider. based in Bourne, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 5685 (MA). The NPI Number for DR. DAVID EDGAR MOSSOP (OD) is 1063273308

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID EDGAR MOSSOP (OD)
NPI
1063273308
Phone
(289) 407-6272
Address
40 HOWARD AVE
Enumeration Date
23 January 2024
Last Update Date
4 April 2024

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
3274972757
Group Practice PAC ID
4486699568
Professional Enrollment ID
I20240416004380
Address ID
MA026490000MA107XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

Provider Addresses for DR. DAVID EDGAR MOSSOP (OD)

  • 40 HOWARD AVE

    BOURNE, MA 025324218

    Phone: (289) 407-6272

    Type: Mailing

  • 107 COMMERCIAL ST

    MASHPEE, MA 026496507

    Phone: (508) 477-7090

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-04-16

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
I20240416004380IOptometryMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02532)

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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: 4486699568View full group profile
NameSpecialtyState
Nurse PractitionerMA
Clinical Social WorkerMA
Physician AssistantMA
-MA
Internal MedicineMA
Registered Dietitian Or Nutrition ProfessionalMA
Clinical PsychologistMA
Family PracticeMA
P S Y C H I A T R YMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What federal number belongs to DR. DAVID EDGAR MOSSOP (OD)?
The federal identifier for DR. DAVID EDGAR MOSSOP (OD) is NPI 1063273308.
Is DR. DAVID EDGAR MOSSOP (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. DAVID EDGAR MOSSOP (OD)'s specialty in plain language?
Clinically, the directory lists DR. DAVID EDGAR MOSSOP (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. DAVID EDGAR MOSSOP (OD) practice in Massachusetts?
You will see Bourne, Massachusetts on file for DR. DAVID EDGAR MOSSOP (OD) alongside any extra practice locations.
Is DR. DAVID EDGAR MOSSOP (OD) a real provider?
This page reflects official NPPES data for NPI 1063273308. Always confirm identity and privileges with the practice and licensing boards.

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