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Active NPI 1487645065 Individual Practitioner Male Practitioner

Dr. Keith Ronald Moulds , OD

Optometrist • Comstock Park, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Keith Moulds, OD is a certified Optometrist practicing in Comstock Park, MI. With approximately 27 years of clinical experience since graduating from Ferris State College - College Of Optometry in 1999, Dr. Moulds delivers high-quality medical care to the local community at 4643 ALPINE AVE NW.

Dr. Moulds is affiliated with Ferris State University and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4643 Alpine Ave Nw
A

Comstock Park, MI 493218179

Telephone 6167848700
Fax 6167848708
Associated Practice Facility / Clinic
🏢 Keith R Moulds Od Pc Facility NPI 1275516155

Medicare Profile & Education

Medical School

Ferris State College - College Of Optometry

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Comstock Park, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +4.3 yrs vs City Avg
City Avg: 22.7 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Comstock Park, MI (2032 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
16.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moulds (27 Years) 27 Yrs
Comstock Park Specialty Average (22.7 Years) 22.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
22 21 $122.55 $117.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
18 12 $45.28 $44.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
17 17 $133.29 $118.91
92133 Imaging of optic nerve
12 12 $75.00 $33.90

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI 4901004021

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
944431615 (MI)

Hospital & Practice Group Affiliations

Ferris State University

1124 S State St, Big Rapids, MI 493072256

Phone: 2315912020

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2012

Registered at 4643 ALPINE AVE NW, A, COMSTOCK PARK, MI 493218179 (Tel: 6167848700)

📍
Updated Business Mailing Address May 30, 2012

Registered at 4643 ALPINE AVE NW, A, COMSTOCK PARK, MI 493218179 (Tel: 6167848700)

👤
Provider Name / Credentials Updated May 30, 2012

Recorded as KEITH MOULDS, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2012

Optometrist (License #4901004021 in MI)

🟢
Initial NPI Registration & Enumeration November 02, 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: 1487645065
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2005
Last Update: May 30, 2012
Sole Proprietor: No

Mailing Address

4643 Alpine Ave Nw, A

Comstock Park, MI 493218179

Phone: 6167848700

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.