JACOB BRADLEY MOORE
NPI 1063080554
Optometrist in Columbia, MO

Q: What is Jacob Moore's NPI number?

The NPI number for Jacob Moore is 1063080554. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Q: What is Jacob Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Moore was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 11, 2021PECOS EnrolledAccepts Medicare Assignment

90.95/100

CMS Quality Rating

500 N KEENE ST, SUITE 103, COLUMBIA, MO 65201(573) 874-2030(573) 449-0253 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jacob Bradley Moore NPPES

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

JACOB BRADLEY MOORE (NPI 1063080554) is an individual optometrist in Columbia, Missouri, licensed in Missouri (2021020987) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2021).

NPPES Registry Identity

NPI1063080554

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJACOB BRADLEY MOORE

Location Address500 N KEENE ST, SUITE 103Columbia, MO 65201-8104

Mailing Address500 N Keene St, Suite 103Columbia, MO 65201-8104 · (573) 874-2030 · Fax (573) 449-0253

Phone(573) 874-2030

Fax(573) 449-0253

Sole ProprietorYes

Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2021

Enumeration DateJune 11, 2021

NPPES CertifiedMay 24, 2021

✔ NPI 1063080554 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 MO · 2021020987

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.

500 N KEENE ST, Columbia, MO 65201

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Jacob Bradley Moore 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 ID3678973336

PECOS Enrollment IDI20240812000837

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 12

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.

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.

827 services23 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

193 services193 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

84 services84 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

62 services62 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

48 services48 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

46 services43 patients

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.

44 services35 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

30 services30 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

16 services12 patients

Exam of visual field with intermediate testing 92082

An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.

15 services15 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

14 services14 patients

Evaluation of eye adaptation to light and dark with interpretation and report 92284

This procedure checks how your eyes adjust to different light conditions. In a dimly lit room, your eyes are first exposed to bright light. Then, the lights are turned off to see how quickly your eyes adapt to darkness. This helps identify any potential vision problems.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

94.04

Improvement Activities

Cost

77.79

Other Providers at the Same Location NPPES 20

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

ROGER D. BONHAM M.D., P.C.

Ophthalmology

500 N KEENE ST, SUITE 101
COLUMBIA, MO 65201

Boone County (573) 449-3846

MRS. TAYLOR RAY JENNINGS FNP

Nurse Practitioner (Family)

500 N KEENE ST, STE 305
COLUMBIA, MO 65201

Boone County (573) 882-5673

DR. DAVID EDWARD DRAPER M.D.

Pediatrics (Pediatric Cardiology)

500 N KEENE ST, SUITE 207
COLUMBIA, MO 65201

Boone County (573) 219-3960

DR. RAYMOND TODD FOSTER SR. M.D.

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)

500 N KEENE ST, SUITE 306
COLUMBIA, MO 65201

Boone County (573) 817-3165

COLUMBIA RETINA CLINIC, LTD.

Ophthalmology

500 N KEENE ST, SUITE 102
COLUMBIA, MO 65201

Boone County (573) 449-3846

DR. PETER CUMMINS DYKE II M.D.

Pediatrics (Pediatric Cardiology)

500 N KEENE ST, SUITE 207
COLUMBIA, MO 65201

Boone County (573) 219-3960

HASSAN FARRA MD

Pediatrics (Pediatric Cardiology)

500 N KEENE ST, STE 207
COLUMBIA, MO 65201

Boone County (573) 219-3960

MILOT THAQI MD

Surgery

500 N KEENE ST, STE 305
COLUMBIA, MO 65201

Boone County (573) 882-5673

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 Jacob Moore's NPI number?

The NPI number for Jacob Moore is 1063080554. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Where is Jacob Moore located?

Jacob Moore practices at 500 N Keene St Suite 103, Columbia, MO 65201. The listed phone number is (573) 874-2030.

What is Jacob Moore's specialty?

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

Is Jacob Moore enrolled in Medicare?

Yes. Jacob 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 Jacob Moore accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Jacob 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 Jacob Moore was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.