ALEXANDER EARL MOSES – Optometrist, NPI 1063797116
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
879 OPTOMETRY in MN
Provider Addresses for ALEXANDER EARL MOSES
1027 WASHINGTON AVE
DETROIT LAKES, MN 565013409
Phone: (218) 847-5611
Fax: (218) 847-0881
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)
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: 2015-08-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20140930001806 | I | Optometry | MN | TBD |
| I20150826001628 | I | Ophthalmology | ND | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 254 | 253 | $0 |
| 92134 | Imaging of retina | 112 | 106 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 64 | 59 | $0 |
| 92014 | Established patient complete exam of visual system | 55 | 55 | $0 |
| 92004 | New patient complete exam of visual system | 51 | 51 | $0 |
Insurance plans in this area (ZIP 56501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | ND | |
| Family Practice | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Family Practice | ND | |
| Family Practice, Emergency Medicine | MN | |
| Nurse Practitioner | WI | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| Nurse Practitioner | MN | |
| P O D I A T R Y | MN |
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