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Deactivated NPI 1154326726 Deactivated / Inactive NPI Male Practitioner

Dr. Everett Albert Moody , MD

Ophthalmology • Irving, TX

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

Registration / Start Date June 20, 2005
NPI Deactivation Date March 20, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Everett Moody, MD was a registered Ophthalmology practicing in Irving, TX. Throughout an active medical career spanning 1 years, Dr. Moody provided care at the practice location at 3200 N MACARTHUR BLVD until profile deactivation on 2006-03-20.

Historical Medicare Part B clinical services included established patient complete exam of visual system, photography of content of eyes, exam to measure eye deviation and range of motion. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3200 N Macarthur Blvd
Ste 200

Irving, TX 750624404

Telephone 9722587979
Fax 9725705502
Associated Practice Facility / Clinic
🏢 Ophthalmology Consultants Pa Facility NPI 1427189968

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Irving, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.8 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
17 Specialists

Practicing in Irving, TX (1616 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.1% 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
20 19 $207.00 $126.75
92285 Photography of content of eyes
17 17 $75.00 $17.75
92060 Exam to measure eye deviation and range of motion
17 17 $106.00 $64.50

Medical Specialties & State Licenses

CMS Verified: 2021-06-01
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX D0977

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Amerigroup Id
74309 (TX)
Commercial Insurance / Payer ID Blue Cross Blue Sheild
8091K0 (TX)
Commercial Insurance / Payer ID Commission For The Blind
9001 (TX)
Commercial Insurance / Payer ID Parkland Medicaid Id
4821 (TX)
Commercial Insurance / Payer ID Opticare Id
11369 (TX)
Commercial Insurance / Payer ID Blue Link Id
2224973 (TX)

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1194750406

Doctor of Optometry

NPI 1497109375

Doctor of Medicine (M.D.)

NPI 1578198115
NPI 1669304994

Doctor of Optometry

NPI 1699972364

Doctor of Medicine (M.D.)

NPI 1750312120

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location July 09, 2007

Registered at 3200 N MACARTHUR BLVD, STE 200, IRVING, TX 750624404 (Tel: 9722587979)

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Updated Business Mailing Address July 09, 2007

Registered at 3200 N MACARTHUR BLVD, STE 200, IRVING, TX 750624404 (Tel: 9722587979)

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Provider Name / Credentials Updated July 09, 2007

Recorded as EVERETT MOODY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Ophthalmology (License #D0977 in TX)

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NPI Profile Reactivated March 24, 2006

Record officially reactivated for active practice on March 24, 2006

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NPI Profile Deactivated March 20, 2006

Record deactivated on March 20, 2006

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Initial NPI Registration & Enumeration June 20, 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: 1154326726
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2005
Last Update: July 13, 2026
Deactivation Date: March 20, 2006
Sole Proprietor: No

Mailing Address

3200 N Macarthur Blvd, Ste 200

Irving, TX 750624404

Phone: 9722587979

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.