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Deactivated NPI 1174610885 Deactivated / Inactive NPI Male Practitioner

Dr. David Duffy Moran , MD

Ophthalmology • Park Ridge, IL

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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. David Moran has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 06, 2006
NPI Deactivation Date October 16, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. David Moran, MD was a registered Ophthalmology practicing in Park Ridge, IL. Throughout an active medical career spanning 19 years, Dr. Moran provided care at the practice location at 42 MAIN ST until profile deactivation on 2025-10-16.

Historical Medicare Part B clinical services included established patient complete exam of visual system, established patient outpatient office visit, established patient problem focused exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

42 Main St

Park Ridge, IL 600684054

Telephone 8478232129
Fax 8478231639
Associated Practice Facility / Clinic
🏢 David D Moran Md Ltd Facility NPI 1154411056

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Park Ridge, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Park Ridge, IL (954 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
14.3% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
140 130 $155.00 $131.91
99213 Established patient office or other outpatient visit, typically 15 minutes
57 36 $90.00 $78.46
92012 Established patient problem focused exam of visual system
23 20 $110.00 $91.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
16 13 $53.00 $47.46

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IL 036-038570

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.

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 October 16, 2025

Record deactivated on October 16, 2025

NPI Profile Active September 07, 2010

NPI status registered as active in NPPES database

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Updated Practice Location September 07, 2010

Registered at 42 MAIN ST, PARK RIDGE, IL 600684054 (Tel: 8478232129)

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Updated Business Mailing Address September 07, 2010

Registered at 42 MAIN STREET, PARK RIDGE, IL 600684054 (Tel: 8478232129)

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Provider Name / Credentials Updated September 07, 2010

Recorded as DAVID MORAN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2010

Ophthalmology (License #036-038570 in IL)

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Initial NPI Registration & Enumeration October 06, 2006

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: 1174610885
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2006
Last Update: September 07, 2010
Deactivation Date: October 16, 2025

Mailing Address

42 Main Street

Park Ridge, IL 600684054

Phone: 8478232129

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.