DR. DOUGLAS LORAN MOORE (OD) – Optometrist, NPI 1679574396

DR. DOUGLAS LORAN MOORE (OD) is a healthcare provider. based in Mountain grove, Missouri. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. T03463 (MO). The NPI Number for DR. DOUGLAS LORAN MOORE (OD) is 1679574396

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOUGLAS LORAN MOORE (OD)
NPI
1679574396
Phone
(417) 926-3937
Address
1902 W 19TH ST
Enumeration Date
3 August 2005
Last Update Date
14 August 2020

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4178865444
Graduation Year
1999 (27 years ago)
PAC ID
6002947785
Group Practice PAC ID
2668404161
Professional Enrollment ID
I20100624000164
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for DR. DOUGLAS LORAN MOORE (OD)

  • West 19th Street, Coney Island, Brooklyn, Kings County, New York, 11224, United States

    SUITE A

    MOUNTAIN GROVE, MO 657111287

    Phone: (417) 926-3937

    Fax: (417) 926-3952

    Type: Location

  • 915 State Highway 248 Ste A

    Branson, MO 656168004

    Phone: (417) 334-0044

    Fax: (417) 725-0502

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $134.

Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($65).

Total Amount

$134

General + Research + Ownership

Payments

4

Total payment records

General Amount

$134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-06-24

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
I20100624000164IOptometryMOTBD

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 system244241$0
66984Removal of cataract with insertion of prosthetic lens9152$0
99213Established patient office or other outpatient visit, 20-29 minutes8473$0
92004New patient complete exam of visual system7575$0
92250Photography of the retina7271$0
View full utilization report →

Insurance plans in this area (ZIP 65711)

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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: 2668404161View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
-MO
O P T O M E T R YMO

Reviews

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Frequently asked questions

What is the standard ID for DR. DOUGLAS LORAN MOORE (OD) in the U.S.?
In the U.S., DR. DOUGLAS LORAN MOORE (OD) is identified by NPI 1679574396.
Is DR. DOUGLAS LORAN MOORE (OD)'s NPI status active today?
Active status means DR. DOUGLAS LORAN MOORE (OD)'s NPI record is not deactivated in the public file.
What type of care does DR. DOUGLAS LORAN MOORE (OD) provide?
DR. DOUGLAS LORAN MOORE (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. DOUGLAS LORAN MOORE (OD)?
DR. DOUGLAS LORAN MOORE (OD) is associated with Mountain Grove, Missouri in the same public data insurers reference.
Who maintains DR. DOUGLAS LORAN MOORE (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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