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JESSICA DYAN MOORE O.D.
NPI 1043207194
Optometrist in Sutton, NE

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment
210 N SAUNDERS AVE, SUTTON, NE 68979(402) 366-6966 Get Directions Write a Review

NPPES record last updated: July 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Dyan Moore O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA DYAN MOORE O.D. (NPI 1043207194) is an individual optometrist in Sutton, Nebraska, licensed in Nebraska (1183) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2002).

NPPES Registry Identity

NPI1043207194
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJESSICA DYAN MOORECredential: O.D.
Location Address210 N SAUNDERS AVESutton, NE 68979-2511
Mailing AddressPo Box 75Sutton, NE 68979-0075 · (402) 366-6966
Phone(402) 366-6966
Sole ProprietorYes
Medical School CMSIndiana University - School Of OptometryGraduated 2002
Enumeration DateOctober 4, 2005
Last NPPES UpdateJuly 26, 2011
✔ NPI 1043207194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NE · 1183
Definition
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.
210 N SAUNDERS AVE, Sutton, NE 68979
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Other Names 1

Former Name (1)Jessica Dyan Damrow O.d.

Other Identifiers 6

Other0183380002NE · Dmerc
Other410048038NE · Railroad Medicare
Other22-00509NE · United Health Care
Other36383NE · Blue Cross Blue Shield
Medicare UPINU90544NE
Medicare PIN275667NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Dyan Moore O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002832342
PECOS Enrollment IDI20051017000647
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
163 services148 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
23 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68979 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARBUTHNOTS INC
Pharmacy (Community/Retail Pharmacy)
210 N SAUNDERS AVE
SUTTON, NE 68979
Clay County (402) 773-4300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Moore's NPI number?

The NPI number for Jessica Moore is 1043207194. It was assigned to this individual provider in the NPPES registry on October 4, 2005. The provider is also known as Jessica Dyan Damrow O.D..

Where is Jessica Moore located?

Jessica Moore practices at 210 N Saunders Ave, Sutton, NE 68979. The listed phone number is (402) 366-6966.

What is Jessica Moore's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jessica Moore enrolled in Medicare?

Yes. Jessica Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jessica Moore accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Montana and 6 other insurers list Jessica Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Moore was last updated on July 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.