DR. ROSS MOULDER (OD) – Optometrist, NPI 1992366348

DR. ROSS MOULDER (OD) is a healthcare provider. based in Rockwall, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 9789 (TX). The NPI Number for DR. ROSS MOULDER (OD) is 1992366348

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROSS MOULDER (OD)
NPI
1992366348
Phone
(972) 430-9977
Address
3301 N GOLIAD ST STE 109
Enumeration Date
26 June 2019
Last Update Date
26 June 2019

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
9724722020
Graduation Year
2019 (7 years ago)
PAC ID
3577998756
Group Practice PAC ID
0345542031
Professional Enrollment ID
I20200116000474
Address ID
TX750326870RO810XXPKWY302

Contacts

Main Contact
https://www.crystalpm.com/index.jsp?crystalpmid=5643
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

3,129 OPTOMETRY in TX

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Provider Addresses for DR. ROSS MOULDER (OD)

  • North Goliad Street, Rockwall, Rockwall County, Texas, 75087, United States

    ROCKWALL, TX 750877194

    Phone: (972) 430-9977

    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 42 Open Payments records for all available years, with a total value of $1,111.

Total Amount is formed as General ($1,111) + Research ($0) + Ownership ($0) = $1,111.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($376).

Total Amount

$1,111

General + Research + Ownership

Payments

42

Total payment records

General Amount

$1,111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2020-01-16

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
I20200116000474IOptometryTXTBD

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
92250Photography of the retina124118$0
99214Established patient office or other outpatient visit, 30-39 minutes7271$0
99213Established patient office or other outpatient visit, 20-29 minutes6562$0
99204New patient office or other outpatient visit, 45-59 minutes5454$0
92134Imaging of retina2018$0
View full utilization report →

Insurance plans in this area (ZIP 75087)

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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: 0345542031View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
-TX

Reviews

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Frequently asked questions

Is there an official ID for DR. ROSS MOULDER (OD) in U.S. healthcare records?
The official identifier for DR. ROSS MOULDER (OD) is NPI 1992366348.
Is DR. ROSS MOULDER (OD) shown as active in public data?
Registry records indicate DR. ROSS MOULDER (OD) maintains an active NPI.
What clinical focus is listed for DR. ROSS MOULDER (OD)?
At a glance, DR. ROSS MOULDER (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ROSS MOULDER (OD)?
Directory geography for DR. ROSS MOULDER (OD) centers on Rockwall, Texas.
When was this NPI issued?
Enumeration for DR. ROSS MOULDER (OD) is noted as June 26, 2019 where the registry provides it.

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