TETON RETINAL INSTITUTE PA
NPI 1437274057
Ophthalmology in Ammon, ID

Q: What is Teton Retinal Institute PA's NPI number?

The NPI number for Teton Retinal Institute PA is 1437274057. It was assigned to this organization in the NPPES registry on March 20, 2007.

Q: What is Teton Retinal Institute PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since March 20, 2007

3544 E 17TH ST, STE 105, AMMON, ID 83406(208) 535-4900(208) 535-4906 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Teton Retinal Institute Pa NPPES

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

TETON RETINAL INSTITUTE PA (NPI 1437274057) is a healthcare organization registered as an ophthalmology in Ammon, Idaho and active in the NPI registry since March 2007. The organization lists Darryl G Moffett, President, as its authorized official.

NPPES Registry Identity

NPI1437274057

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameTETON RETINAL INSTITUTE PA

Location Address3544 E 17TH ST, STE 105Ammon, ID 83406-6911

Mailing Address3544 E 17th St, Ste 105Ammon, ID 83406-6911 · (208) 535-4900 · Fax (208) 535-4906

Phone(208) 535-4900

Fax(208) 535-4906

Organization SubpartNo

Authorized OfficialDarryl G MoffettPresident · (208) 535-4900

Enumeration DateMarch 20, 2007

Last NPPES UpdateNovember 18, 2015

✔ NPI 1437274057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in ID · M6263

Definition

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.

3544 E 17TH ST, Ammon, ID 83406

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Other Identifiers 2

Other8G320ID · Blue Cross Group

Medicare ID-Type Unspecified1374432ID · Medicare Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teton Retinal Institute Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Teton Retinal Institute PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Darryl Moffett, M.D.

Ophthalmology

NPI 1003858465

3544 E 17TH ST SUITE 105
Ammon, ID 83406

(208) 535-4900

✔ PECOS✔ Accepts MedicareSame address

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

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 Teton Retinal Institute PA's NPI number?

The NPI number for Teton Retinal Institute PA is 1437274057. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Teton Retinal Institute PA located?

Teton Retinal Institute PA is located at 3544 E 17th St Ste 105, Ammon, ID 83406. The listed phone number is (208) 535-4900.

What is Teton Retinal Institute PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Teton Retinal Institute PA enrolled in Medicare?

Yes. Teton Retinal Institute PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Teton Retinal Institute PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Teton Retinal Institute PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Teton Retinal Institute PA accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Teton Retinal Institute PA 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 Teton Retinal Institute PA was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.