DR. LUKE TAE JONG MOORE (M.D.) – Ophthalmology Physician, NPI 1023452182
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
415 OPHTHALMOLOGY in MN
Provider Addresses for DR. LUKE TAE JONG MOORE (M.D.)
8170 - 33RD AVE S
MS 21110Q
MINNEAPOLIS, MN 554254516
Phone:
Fax: (952) 853-8727
Type: Mailing
3930 NORTHWOODS DR
ARDEN HILLS, MN 55112
Phone: (651) 523-8500
Fax: (651) 523-8584
Type: Location
400 E 3RD ST
DULUTH, MN 558051951
Phone: (218) 786-8364
Type: Location
600 Gresham Dr
Norfolk, VA 235071904
Phone: (757) 388-0324
Fax: (757) 388-0355
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $197.
Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Alcon Vision LLC ($101).
Total Amount
$197
General + Research + Ownership
Payments
5
Total payment records
General Amount
$197
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $101 |
| Regeneron Healthcare Solutions, Inc. | $33 |
| Sight Sciences, Inc. | $31 |
| Dompe US, Inc. | $31 |
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: 2025-10-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20180727001981 | I | Ophthalmology | MN | TBD |
| I20221229001955 | I | Ophthalmology | GU | TBD |
| I20251024002966 | I | Ophthalmology | NV | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 149 | 53 | $0 |
| 92020 | Exam of the internal drainage system of eye | 61 | 38 | $0 |
| 65855 | Laser repair to improve eye fluid flow | 45 | 20 | $0 |
| 92004 | New patient complete exam of visual system | 38 | 38 | $0 |
| 76514 | Ultrasound scan of cornea to determine thickness | 27 | 25 | $0 |
Insurance plans in this area (ZIP 55425)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | GU | |
| O P H T H A L M O L O G Y | CA | |
| - | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.