JEFFREY EDWARD MOORE (OD) – Optometrist, NPI 1124073770
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,771 OPTOMETRY in PA
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Provider Addresses for JEFFREY EDWARD MOORE (OD)
3rd Avenue, Mason, Warren County, Ohio, 45040, United States
SUITE 106
WARREN, PA 16365
Phone: (814) 723-4470
Fax: (814) 723-5413
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 11 Open Payments records for all available years, with a total value of $290.
Total Amount is formed as General ($290) + Research ($0) + Ownership ($0) = $290.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Alcon Vision LLC ($116).
Total Amount
$290
General + Research + Ownership
Payments
11
Total payment records
General Amount
$290
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $116 |
| Dompe US, Inc. | $101 |
| Bausch & Lomb Americas Inc. | $42 |
| Novo Nordisk Inc | $17 |
| Johnson & Johnson Vision Care, Inc. | $14 |
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: 2009-06-02
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090602000075 | I | Optometry | PA | 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 | 149 | 148 | $0 |
| 92250 | Photography of the retina | 147 | 147 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 76 | 72 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 67 | 38 | $0 |
| 92083 | Exam of visual field with extended testing | 38 | 37 | $0 |
Insurance plans in this area (ZIP 16365)
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