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KAITLYN ANDREA MOORE OD
NPI 1316620552
Optometrist in Eagle River, AK

Active since August 14, 2023PECOS EnrolledAccepts Medicare Assignment
10928 EAGLE RIVER RD, EAGLE RIVER, AK 99577(907) 694-2020 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaitlyn Andrea Moore Od NPPES

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

KAITLYN ANDREA MOORE OD (NPI 1316620552) is an individual optometrist in Eagle River, Alaska, licensed in Alaska (212947) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1316620552
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKAITLYN ANDREA MOORECredential: OD
Location Address10928 EAGLE RIVER RDEagle River, AK 99577-8078
Mailing Address10676 Wilton RdElk Grove, CA 95624-1419
Phone(907) 694-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 14, 2023
NPPES CertifiedAugust 12, 2023
✔ NPI 1316620552 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 AK · 212947
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.
10928 EAGLE RIVER RD, Eagle River, AK 99577
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Kaitlyn Andrea Moore 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 ID547613085
PECOS Enrollment IDI20240131002330
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 6

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.
69 services52 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.
23 services23 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).
16 services14 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.
15 services15 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.
12 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99577 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
$168.20 typical visit price
range $71.33 – $222.64
Typical copayment $42.05 (range $17.83 – $55.66)
Most-billed visit code 99204
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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 11

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

NERVANA HEALTH SOLUTIONS LLC
Pain Medicine (Interventional Pain Medicine)
10928 EAGLE RIVER RD, # 104
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 622-1300
NORTHERN ANESTHESIA AND PAIN MEDICINE, LLC
Anesthesiology
10928 EAGLE RIVER RD, SUITE 240
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 622-7246
DR. BRIAN DOMENIC VACCA MD
Physical Medicine & Rehabilitation
10928 EAGLE RIVER RD, SUITE 104
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 622-1300
MRS. VIVIEN WATTS TINCHER MS, LPC, CDCII, MAC,
Counselor (Professional)
10928 EAGLE RIVER RD, SUITE 140
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 696-8462
VACCA PHYSIATRY LLC
Clinic/Center (Medical Specialty)
10928 EAGLE RIVER RD, SUITE 104
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 622-1300
DR. HAL E HAGGE O.D.
Optometrist (Corneal and Contact Management)
10928 EAGLE RIVER RD, STE.# 102
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 694-2020
MRS. MARY ELIZABETH SMITH ANP
Nurse Practitioner (Family)
10928 EAGLE RIVER RD, STE 254
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 694-5522
DR. ALFRED MONTAGUE LAND IV DMD
Dentist (General Practice)
10928 EAGLE RIVER RD, SUITE 250
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 696-4987

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 Kaitlyn Moore's NPI number?

The NPI number for Kaitlyn Moore is 1316620552. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Where is Kaitlyn Moore located?

Kaitlyn Moore practices at 10928 Eagle River Rd, Eagle River, AK 99577. The listed phone number is (907) 694-2020.

What is Kaitlyn Moore's specialty?

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

Is Kaitlyn Moore enrolled in Medicare?

Yes. Kaitlyn 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 Kaitlyn Moore accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kaitlyn 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 Kaitlyn Moore was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.