DR. TYLER MOORE (MD) – Ophthalmology Physician, NPI 1215375928

DR. TYLER MOORE (MD) is a healthcare provider. based in Fort worth, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. R2178 (TX). The NPI Number for DR. TYLER MOORE (MD) is 1215375928

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. TYLER MOORE (MD)
NPI
1215375928
Phone
(817) 732-5593
Address
5000 COLLINWOOD AVE.
Enumeration Date
5 June 2013
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8177325593
Graduation Year
2013 (13 years ago)
PAC ID
3375841729
Group Practice PAC ID
7214195932
Professional Enrollment ID
I20170614000349
Address ID
TX761073606FO5000XAVEX300

Contacts

Secure Messaging
MooreTB@ranelle.updoxdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

1,544 OPHTHALMOLOGY in TX

Provider Addresses for DR. TYLER MOORE (MD)

  • 5000 COLLINWOOD AVE.

    FORT WORTH, TX 761073606

    Phone: (817) 732-5593

    Fax: (817) 342-0388

    Type: Mailing

  • 5000 COLLINWOOD AVE

    FORT WORTH, TX 761073606

    Phone: (817) 732-5593

    Fax: (817) 342-0388

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $428.

Total Amount is formed as General ($428) + Research ($0) + Ownership ($0) = $428.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Genmab U.S., Inc. ($125).

Total Amount

$428

General + Research + Ownership

Payments

14

Total payment records

General Amount

$428

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2017-06-14

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
I20170614000349IOphthalmologyTXTBD

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 system728685$0
92012Established patient problem focused exam of visual system372258$0
92133Imaging of optic nerve207203$0
92004New patient complete exam of visual system167167$0
92083Exam of visual field with extended testing150137$0
View full utilization report →

Insurance plans in this area (ZIP 76107)

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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: 7214195932View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTX
O P T O M E T R YTX
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

How is DR. TYLER MOORE (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. TYLER MOORE (MD) with NPI 1215375928.
Does CMS list DR. TYLER MOORE (MD) as active?
Yes — DR. TYLER MOORE (MD) is active in the NPI listing used on this page.
What healthcare role does DR. TYLER MOORE (MD) hold?
Scheduling teams often label DR. TYLER MOORE (MD) under Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. TYLER MOORE (MD) based?
DR. TYLER MOORE (MD) is tied to Fort Worth, Texas in the data we show; additional addresses may exist on the full record.
Why does DR. TYLER MOORE (MD) 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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