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Deactivated NPI 1609858554 Deactivated / Inactive NPI Male Practitioner

Dr. Everett C. Moulton , MD

Ophthalmology • Fort Smith, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Everett Moulton has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 16, 2005
NPI Deactivation Date January 31, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Everett Moulton, MD was a registered Ophthalmology practicing in Fort Smith, AR. Throughout an active medical career spanning 19 years, Dr. Moulton provided care at the practice location at 5518 ELLSWORTH RD until profile deactivation on 2024-01-31.

Historical Medicare Part B clinical services included established patient complete exam of visual system, extended exam of the back part of the eye with optic nerve drawing, exam of visual field with extended testing. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

5518 Ellsworth Rd

Fort Smith, AR 729033222

Telephone 4796463937
Fax 4796463605
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Fort Smith, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.3 Yrs
State Avg: 29.8 Yrs
Regional Practice Density
10 Specialists

Practicing in Fort Smith, AR (156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
307 216 $200.00 $116.05
92202 Extended exam of the back part of the eye with optic nerve drawing
288 211 $60.00 $14.81
92083 Exam of visual field with extended testing
144 63 $70.00 $28.39
92133 Imaging of optic nerve
112 53 $55.00 $15.85
92025 Ct scan of cornea
99 37 $55.00 $15.85
92134 Imaging of retina
98 34 $55.00 $18.53
92012 Established patient problem focused exam of visual system
40 22 $165.00 $81.84
92136 Measurement of corneal curvature and depth of eye
38 13 $105.00 $22.83
92201 Extended exam of the back part of the eye with retinal drawing
31 29 $60.00 $23.07
66821 Removal of recurring cataract in lens capsule using a laser
18 13 $852.00 $282.76

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License AR C4990

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1225654379

Doctor of Chiropractic

Stephen Pittman

Nurse Practitioner - Family

NPI 1427873751

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 31, 2024

Record deactivated on January 31, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5518 ELLSWORTH RD, FORT SMITH, AR 729033222 (Tel: 4796463937)

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Updated Business Mailing Address July 08, 2007

Registered at 5518 ELLSWORTH RD, FORT SMITH, AR 729033222 (Tel: 4796463937)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EVERETT MOULTON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #C4990 in AR)

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Initial NPI Registration & Enumeration November 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609858554
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2005
Last Update: July 08, 2007
Deactivation Date: January 31, 2024

Mailing Address

5518 Ellsworth Rd

Fort Smith, AR 729033222

Phone: 4796463937

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.