DR. STEPHANIE R MOORE (AUD) – Audiologist, NPI 1205941804
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
665 QUALIFIED AUDIOLOGIST in TX
Provider Addresses for DR. STEPHANIE R MOORE (AUD)
1701 S Palestine St Ste A
Athens, TX 757515739
Phone: (190) 367-5331
Type: Location
4100, Southeast Adams Road, Bartlesville, Washington County, Oklahoma, 74006, United States
STE C106
BARTLESVILLE, OK 740068437
Phone: (918) 333-9992
Fax: (918) 333-9996
Type: Location
121, Southeast Adams Boulevard, Bartlesville, Washington County, Oklahoma, 74003, United States
BARTLESVILLE, OK 740034925
Phone: (918) 335-3061
Type: Mailing
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: 2025-07-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20050815000559 | I | Qualified Audiologist | OK | TBD |
| I20241104000918 | I | Qualified Audiologist | GA | TBD |
| I20250107000369 | I | Qualified Audiologist | FL | TBD |
| I20250719000143 | I | Qualified Audiologist | NC | 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 |
|---|---|---|---|---|
| 92557 | Comprehensive hearing and speech recognition test | 108 | 108 | $0 |
| 92567 | Test to assess middle ear function | 13 | 12 | $0 |
Insurance plans in this area (ZIP 75751)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | FL | |
| Qualified Audiologist | GA | |
| Nurse Practitioner | GA | |
| O T O L A R Y N G O L O G Y | GA | |
| Nurse Practitioner | GA | |
| O T O L A R Y N G O L O G Y | CT | |
| Nurse Practitioner | GA |
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