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DR. MARK A MOEN OD
NPI 1124124623
Optometrist - Corneal and Contact Management in Devils Lake, ND

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
404 HWY 2 EAST, DEVILS LAKE, ND 58301(701) 662-4085(701) 662-6685 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mark A Moen Od NPPES

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

DR. MARK A MOEN OD (NPI 1124124623) is an individual corneal and contact management provider in Devils Lake, North Dakota, licensed in North Dakota (441) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1985).

NPPES Registry Identity

NPI1124124623
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. MARK A MOENCredential: OD
Location Address404 HWY 2 EASTDevils Lake, ND 58301-0130
Mailing AddressPo Box 130Devils Lake, ND 58301-0130 · (701) 662-4085 · Fax (701) 662-6685
Phone(701) 662-4085
Fax(701) 662-6685
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1985
Enumeration DateSeptember 15, 2006
Last NPPES UpdateMay 15, 2008
✔ NPI 1124124623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in ND · 441
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
404 HWY 2 EAST, Devils Lake, ND 58301
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Other Identifiers 8

OtherCI2649ND · Palmetto Gba - Railroad Medicare
Medicaid60342ND
Medicare PIN8844ND
Other0311120001ND · Cigna Medicare Service
Other800441ND · Nd Vision Services
Other450433379000ND · Workers Safety And Comp
Other8844ND · Bs Of North Dakota
Medicare UPINT66896ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark A Moen Od 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 ID2163415662
PECOS Enrollment IDI20100913000975
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Moen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Drs Moen Enderle And Krein PC
0.3 mi
Optometrist
404 HWY 2 EAST
Devils Lake, ND 58301
  • Reassigned Medicare billing, North Dakota enrollment
  • 4 clinicians in this Medicare group
NPI 1265539639 (701) 662-4085
Picken Welder Optometry, P.C.
129 mi
Optometrist
725 CENTER AVE, STE 2
Moorhead, MN 56560
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Picken Welder Optometry PC
  • 3 clinicians in this Medicare group
NPI 1639611791 (218) 233-2650

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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 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.
254 services252 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.
221 services148 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
125 services122 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.
103 services103 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.
74 services59 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.
70 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58301 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%34 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%132 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims24 services$38.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DRS MOEN ENDERLE AND KREIN PC
Optometrist
404 HWY 2 EAST
DEVILS LAKE, ND 58301
Ramsey County (701) 662-4085
DR. CAREY L ENDERLE OD
Optometrist
404 HWY 2 EAST
DEVILS LAKE, ND 58301
Ramsey County (701) 662-4085
DR. KYLE D KREIN OD
Optometrist (Corneal and Contact Management)
404 HWY 2 EAST
DEVILS LAKE, ND 58301
Ramsey County (701) 662-4085

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 Mark Moen's NPI number?

The NPI number for Mark Moen is 1124124623. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Mark Moen located?

Mark Moen practices at 404 Hwy 2 East, Devils Lake, ND 58301. The listed phone number is (701) 662-4085.

What is Mark Moen's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Mark Moen enrolled in Medicare?

Yes. Mark Moen 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.

Which organizations bill Medicare for Mark Moen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Moen reassigns Medicare benefits to 2 organizations: Drs Moen Enderle And Krein PC (Devils Lake, ND) and Picken Welder Optometry, P.C. (Moorhead, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Moen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Moen accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Mark Moen 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 Mark Moen was last updated on May 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.