Active NPI 1043207194 Individual Practitioner Female Practitioner

Dr. Jessica Dyan Moore , OD

Optometrist • Sutton, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jessica Moore, OD is a certified Optometrist practicing in Sutton, NE. With approximately 24 years of clinical experience since graduating from Indiana University - School Of Optometry in 2002, Dr. Moore delivers high-quality medical care to the local community at 210 N SAUNDERS AVE.

Dr. Moore accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

210 N Saunders Ave

Sutton, NE 689792511

Telephone 4023666966

Associated Practice Facility / Clinic

🏢 Arbuthnots Inc Facility NPI 1649467036

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Sutton, NE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs Matches City Avg

City Avg: 24.0 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Sutton, NE (469 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

30.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (24 Years) 24 Yrs

Sutton Specialty Average (24.0 Years) 24.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	163	148	$94.97	$83.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$125.00	$101.95
66984 Removal of cataract with insertion of lens	23	14	$180.00	$93.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	156	141	$90.03	$83.51
66984 Removal of cataract with insertion of lens	32	19	$180.00	$94.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$120.00	$102.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	21	$45.00	$44.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	119	108	$90.00	$84.45
66984 Removal of cataract with insertion of lens	29	18	$180.00	$95.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$45.00	$44.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$120.00	$103.54
92012 Established patient problem focused exam of visual system	11	11	$90.00	$84.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	68	$90.00	$85.78
92012 Established patient problem focused exam of visual system	47	47	$90.00	$84.71
66984 Removal of cataract with insertion of lens	33	18	$180.00	$97.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$120.00	$104.90
92002 New patient problem focused exam of visual system	11	11	$100.00	$81.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	42	40	$90.00	$83.99
99213 Established patient office or other outpatient visit, typically 15 minutes	31	30	$90.00	$70.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$125.00	$102.71
92014 Established patient complete exam of visual system	12	12	$130.00	$119.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$120.00	$101.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	37	$125.00	$101.75
92012 Established patient problem focused exam of visual system	34	34	$90.00	$82.65
99213 Established patient office or other outpatient visit, typically 15 minutes	34	34	$90.00	$69.24
66984 Removal of cataract with insertion of lens	30	19	$180.00	$108.83
92014 Established patient complete exam of visual system	16	16	$130.00	$118.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$120.00	$100.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$170.00	$153.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	37	35	$85.68	$68.22
92012 Established patient problem focused exam of visual system	33	33	$90.00	$82.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$115.33	$99.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$119.23	$100.40
92250 Photography of the retina	24	24	$75.00	$53.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	86	84	$90.00	$77.13
92250 Photography of the retina	33	33	$75.00	$58.43
92002 New patient problem focused exam of visual system	22	22	$100.00	$73.56
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$70.00	$65.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$45.00	$38.96
92014 Established patient complete exam of visual system	15	15	$130.00	$111.28

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NE 1183

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

Commercial Insurance / Payer ID United Health Care

22-00509 (NE)

Commercial Insurance / Payer ID Railroad Medicare

410048038 (NE)

Commercial Insurance / Payer ID Blue Cross Blue Shield

36383 (NE)

Commercial Insurance / Payer ID Dmerc

0183380002 (NE)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 26, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 26, 2011

Registered at 210 N SAUNDERS AVE, SUTTON, NE 689792511 (Tel: 4023666966)

📍

Updated Business Mailing Address July 26, 2011

Registered at PO BOX 75, SUTTON, NE 689790075 (Tel: 4023666966)

👤

Provider Name / Credentials Updated July 26, 2011

Recorded as JESSICA MOORE, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2011

Optometrist (License #1183 in NE)

🟢

Initial NPI Registration & Enumeration October 04, 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: 1043207194

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 04, 2005

Last Update: July 26, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 75

Sutton, NE 689790075

Phone: 4023666966

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.