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ALLIE MOODY
NPI 1770219479
Optometrist in Mesa, AZ

Active since July 26, 2022PECOS EnrolledAccepts Medicare Assignment
6239 E BROWN RD STE 113, MESA, AZ 85205(480) 318-0663 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 23, 2022, Jul 26, 2022 (2 updates tracked since 2022).

About Allie Moody NPPES

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

ALLIE MOODY (NPI 1770219479) is an individual optometrist in Mesa, Arizona, licensed in Arizona (2621) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2021).

NPPES Registry Identity

NPI1770219479
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameALLIE MOODY
Location Address6239 E BROWN RD STE 113Mesa, AZ 85205-4933
Mailing Address111 E 4th St Ste 440Alton, IL 62002-6241 · (618) 462-9818
Phone(480) 318-0663
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2021
Enumeration DateJuly 26, 2022
Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1770219479 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 AZ · 2621
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.
6239 E BROWN RD STE 113, Mesa, AZ 85205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and more.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

Allie Moody 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 ID1254701808
PECOS Enrollment IDI20250825002451
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 Allie Moody reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

John H Mcdougall Od Arizona PC
12 mi
Optometrist
13125 N LA MONTANA DR STE 1
Fountain Hills, AZ 85268
  • Reassigned Medicare billing, Arizona enrollment
  • 76 clinicians in this Medicare group
NPI 1851882179 (480) 535-1098
Paige Hedgpath Odpc
1,143 mi
Optometrist
1400 FORUM BLVD
Columbia, MO 65203
  • Reassigned Medicare billing, Missouri enrollment
  • 83 clinicians in this Medicare group
NPI 1669530887 (573) 446-0331

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 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 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.
79 services78 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.
39 services34 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.
39 services26 patients
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.
26 services16 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.
24 services22 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85205 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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 Allie Moody's NPI number?

The NPI number for Allie Moody is 1770219479. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Where is Allie Moody located?

Allie Moody practices at 6239 E Brown Rd Ste 113, Mesa, AZ 85205. The listed phone number is (480) 318-0663.

What is Allie Moody's specialty?

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

Is Allie Moody enrolled in Medicare?

Yes. Allie Moody 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 Allie Moody's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allie Moody reassigns Medicare benefits to 2 organizations: John H Mcdougall Od Arizona PC (Fountain Hills, AZ) and Paige Hedgpath Odpc (Columbia, MO). 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 Allie Moody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Allie Moody accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 17 other insurers list Allie Moody 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 Allie Moody was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.