DR. JODI M. MOORE-WEISS (OD) – Optometrist, NPI 1003036427

DR. JODI M. MOORE-WEISS (OD) is a healthcare provider. based in Walla walla, Washington. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 002648 (CT). The NPI Number for DR. JODI M. MOORE-WEISS (OD) is 1003036427

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JODI M. MOORE-WEISS (OD)
NPI
1003036427
Phone
(509) 525-5200
Address
77 Wainwright Dr Bldg 86123
Enumeration Date
26 April 2007
Last Update Date
2 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072842511
Graduation Year
2004 (22 years ago)
PAC ID
3870526502
Group Practice PAC ID
6507778255
Professional Enrollment ID
I20190131001013

Contacts

Secure Messaging
jmooreweiss567081@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness95
Years active:19State licenses:2Other names

Provider Addresses for DR. JODI M. MOORE-WEISS (OD)

  • 77 Wainwright Dr Bldg 86123

    Walla Walla, WA 99362

    Phone: (509) 525-5200

    Fax: (509) 526-6202

    Type: Location

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    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: 2019-01-31

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
I20190131001013IOptometryMNTBD

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
92083Exam of visual field with extended testing460343$0
92133Imaging of optic nerve319302$0
99214Established patient office or other outpatient visit, 30-39 minutes312239$0
92014Established patient complete exam of visual system221217$0
92004New patient complete exam of visual system102102$0
View full utilization report →

Insurance plans in this area (ZIP 99362)

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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: 6507778255View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. JODI M. MOORE-WEISS (OD)?
The federal identifier for DR. JODI M. MOORE-WEISS (OD) is NPI 1003036427.
Is DR. JODI M. MOORE-WEISS (OD)'s NPI currently valid?
The extract we use shows DR. JODI M. MOORE-WEISS (OD) as active.
What kind of provider is DR. JODI M. MOORE-WEISS (OD)?
The page reflects Optometrist for DR. JODI M. MOORE-WEISS (OD). Clinical services aligned with this taxonomy classification.
What location shows for DR. JODI M. MOORE-WEISS (OD)?
We surface Walla Walla, Washington for DR. JODI M. MOORE-WEISS (OD) based on available NPPES addresses.
How can I contact DR. JODI M. MOORE-WEISS (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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