DR. CHAD EDWIN MOORE (OD) – Optometrist, NPI 1700817210

DR. CHAD EDWIN MOORE (OD) is a healthcare provider. based in Joplin, Missouri. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2006017254 (MO). The NPI Number for DR. CHAD EDWIN MOORE (OD) is 1700817210

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHAD EDWIN MOORE (OD)
NPI
1700817210
Phone
(417) 781-3630
Address
1531 WEST 32ND STREET
Enumeration Date
5 July 2006
Last Update Date
2 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4177813630
Graduation Year
2006 (20 years ago)
PAC ID
8123023876
Group Practice PAC ID
0547265472
Professional Enrollment ID
I20061002000378
Address ID
MO648041651JO1531XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for DR. CHAD EDWIN MOORE (OD)

  • 1531, West 32nd Street, Joplin, Newton County, Missouri, 64804, United States

    SUITE 102

    JOPLIN, MO 648041651

    Phone: (417) 781-3630

    Fax: (417) 781-9814

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2023-11-01 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($125).

Total Amount

$144

General + Research + Ownership

Payments

2

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-01

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: 2006-10-02

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
I20061002000378IOptometryMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes407188$0
92014Established patient complete exam of visual system221218$0
92083Exam of visual field with extended testing9575$0
92133Imaging of optic nerve7365$0
92250Photography of the retina6653$0
View full utilization report →

Insurance plans in this area (ZIP 64804)

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Provider's Procedures

DR. CHAD EDWIN MOORE (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMO92083Measurement of field of vision during daylight conditions4139
OPTOMETRYMO92134Diagnostic imaging of retina1412

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: 0547265472View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMO
-MO
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YKS

Reviews

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Frequently asked questions

What federal number belongs to DR. CHAD EDWIN MOORE (OD)?
The federal identifier for DR. CHAD EDWIN MOORE (OD) is NPI 1700817210.
Is DR. CHAD EDWIN MOORE (OD)'s NPI currently valid?
The extract we use shows DR. CHAD EDWIN MOORE (OD) as active.
What kind of provider is DR. CHAD EDWIN MOORE (OD)?
The page reflects Optometrist for DR. CHAD EDWIN MOORE (OD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. CHAD EDWIN MOORE (OD)?
The snapshot lists Joplin, Missouri for DR. CHAD EDWIN MOORE (OD); download NPPES for the complete set.
What if Joplin, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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