DR. ISRAEL ROSE MOORE (OD) – Optometrist, NPI 1679353544

DR. ISRAEL ROSE MOORE (OD) is a healthcare provider. based in Philipsburg, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OEG004071 (PA). The NPI Number for DR. ISRAEL ROSE MOORE (OD) is 1679353544

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. ISRAEL ROSE MOORE (OD)
NPI
1679353544
Phone
(484) 948-8238
Address
104 S 9TH ST
Enumeration Date
29 September 2023
Last Update Date
29 September 2023

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
5709924000
Graduation Year
2023 (3 years ago)
PAC ID
7719333640
Group Practice PAC ID
9436131026
Professional Enrollment ID
I20231027002081
Address ID
PA183227774BR1650X209X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,771 OPTOMETRY in PA

Provider Addresses for DR. ISRAEL ROSE MOORE (OD)

  • 104 S 9TH ST

    PHILIPSBURG, PA 168661202

    Phone: (484) 948-8238

    Type: Mailing

  • 300 PLAZA CT STE A

    EAST STROUDSBURG, PA 183018260

    Phone: (570) 421-8842

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: RxSight Inc ($82).

Total Amount

$149

General + Research + Ownership

Payments

5

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

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: 2023-10-27

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
I20231027002081IOptometryPATBD

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
92012Established patient problem focused exam of visual system1915$0
View full utilization report →

Insurance plans in this area (ZIP 16866)

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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: 9436131026View full group profile
NameSpecialtyState
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YPA
-PA
O P H T H A L M O L O G YPA
O P T O M E T R YPA
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YPA
O P T O M E T R YPA

Reviews

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Frequently asked questions

Can I verify DR. ISRAEL ROSE MOORE (OD) with an NPI only?
You can start verification with NPI 1679353544 for DR. ISRAEL ROSE MOORE (OD), then check state licensing separately.
Does the file indicate DR. ISRAEL ROSE MOORE (OD) is practicing under active NPI?
Directory data currently reports DR. ISRAEL ROSE MOORE (OD) as active.
What healthcare role does DR. ISRAEL ROSE MOORE (OD) hold?
Scheduling teams often label DR. ISRAEL ROSE MOORE (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. ISRAEL ROSE MOORE (OD) list a practice location?
Patients near Philipsburg, Pennsylvania may find DR. ISRAEL ROSE MOORE (OD) in results; validate coverage separately.
Why does DR. ISRAEL ROSE MOORE (OD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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