KERRY J MOSCOVITZ (O.D.) – Optometrist, NPI 1023127776

KERRY J MOSCOVITZ (O.D.) is a healthcare provider. based in Sammamish, Washington. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3313TX (WA). The NPI Number for KERRY J MOSCOVITZ (O.D.) is 1023127776

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
KERRY J MOSCOVITZ (O.D.)
NPI
1023127776
Phone
(425) 392-2196
Address
22741 SE 29TH ST
Enumeration Date
29 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
4253922196
Graduation Year
1996 (30 years ago)
PAC ID
2961669783
Group Practice PAC ID
0547158404
Professional Enrollment ID
I20120207000403
Address ID
WA980759532SA22741STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

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Provider Addresses for KERRY J MOSCOVITZ (O.D.)

  • 22741, Southeast 29th Street, Pine Lake, Sammamish, King County, Washington, 98075, United States

    SAMMAMISH, WA 980759532

    Phone: (425) 392-2196

    Fax: (425) 392-8934

    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 24 Open Payments records for all available years, with a total value of $865.

Total Amount is formed as General ($865) + Research ($0) + Ownership ($0) = $865.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($293).

Total Amount

$865

General + Research + Ownership

Payments

24

Total payment records

General Amount

$865

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2012-02-07

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
I20120207000403IOptometryWATBD

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 retina7367$0
92081Exam of visual field with limited testing6457$0
92014Established patient complete exam of visual system4747$0
99213Established patient office or other outpatient visit, 20-29 minutes3519$0
92004New patient complete exam of visual system1818$0
View full utilization report →

Insurance plans in this area (ZIP 98075)

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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: 0547158404View full group profile
NameSpecialtyState
O P T O M E T R YWA

Reviews

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Frequently asked questions

How is KERRY J MOSCOVITZ (O.D.) identified in CMS data?
CMS-hosted NPPES data lists KERRY J MOSCOVITZ (O.D.) with NPI 1023127776.
Does the file indicate KERRY J MOSCOVITZ (O.D.) is practicing under active NPI?
Directory data currently reports KERRY J MOSCOVITZ (O.D.) as active.
What is KERRY J MOSCOVITZ (O.D.)'s primary classification?
Optometrist is the headline specialty for KERRY J MOSCOVITZ (O.D.) here. Clinical services aligned with this taxonomy classification.
Does KERRY J MOSCOVITZ (O.D.) list a practice location?
Patients near Sammamish, Washington may find KERRY J MOSCOVITZ (O.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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