DR. SCOTT JAMES MOORE O.D.
NPI 1730177122
Optometrist in Burton, MI

Q: What is Scott Moore's NPI number?

The NPI number for Scott Moore is 1730177122. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Q: What is Scott 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 Scott Moore was last updated on March 6, 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.

Active since October 10, 2005PECOS EnrolledAccepts Medicare Assignment

1235 S CENTER RD, SUITE 16, BURTON, MI 48509(810) 744-1950(810) 744-1515 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Scott James Moore O.d. NPPES

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

DR. SCOTT JAMES MOORE O.D. (NPI 1730177122) is an individual optometrist in Burton, Michigan, licensed in Michigan (4901004271) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (2004).

NPPES Registry Identity

NPI1730177122

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. SCOTT JAMES MOORECredential: O.D.

Location Address1235 S CENTER RD, SUITE 16Burton, MI 48509-1700

Mailing Address1235 S Center Rd, Suite 16Burton, MI 48509-1700

Phone(810) 744-1950

Fax(810) 744-1515

Sole ProprietorNo

Medical School CMSFerris State College - College Of OptometryGraduated 2004

Enumeration DateOctober 10, 2005

Last NPPES UpdateMarch 6, 2008

✔ NPI 1730177122 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 MI · 4901004271

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.

1235 S CENTER RD, Burton, MI 48509

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Other Identifiers 2

Medicare ID-Type UnspecifiedM59350004MI

Medicare UPINV02546

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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

Dr. Scott James 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 ID5193781532

PECOS Enrollment IDI20041207000771

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

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 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.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48509 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 8

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

GENERAL OPTICAL COMPANY

Eyewear Supplier

1235 S CENTER RD, SUITE 16
BURTON, MI 48509

Genesee County (810) 744-1950

JEREMY JOSEPH FLOWERS LPTA

Physical Therapy Assistant

1235 S CENTER RD, UNIT 12
BURTON, MI 48509

Genesee County (810) 743-8820

CHRISTOPHER KOWALSKI O.D.

Optometrist

1235 S CENTER RD, SUITE 16
BURTON, MI 48509

Genesee County (810) 744-1950

MRS. TRINA LEANE DEWAR OTR

Occupational Therapist

1235 S CENTER RD
BURTON, MI 48509

Genesee County (810) 743-8820

NAN MARY WITZGALL P.T.

Physical Therapist

1235 S CENTER RD, UNIT 12
BURTON, MI 48509

Genesee County (810) 743-8820

JENNIFER LYNN BAILEY DPT

Physical Therapist

1235 S CENTER RD, UNIT 12
BURTON, MI 48509

Genesee County (810) 743-8820

ERIC ANTHONY LORINCZ LPTA

Physical Therapy Assistant

1235 S CENTER RD
BURTON, MI 48509

Genesee County (810) 743-8820

DR. JENNIFER ANNE WHALLS PT, DPT

Physical Therapist

1235 S CENTER RD, UNIT 12
BURTON, MI 48509

Genesee County (810) 743-8820

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 Scott Moore's NPI number?

The NPI number for Scott Moore is 1730177122. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Scott Moore located?

Scott Moore practices at 1235 S Center Rd Suite 16, Burton, MI 48509. The listed phone number is (810) 744-1950.

What is Scott Moore's specialty?

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

Is Scott Moore enrolled in Medicare?

Yes. Scott 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 Scott Moore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Scott 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 Scott Moore was last updated on March 6, 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.