Darryl G Moffett Jr., M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

M-6263 Issued in ID

Practice address

3544 E 17TH St
Suite 105
Ammon, ID 83406-6911

Phone

(208) 535-4900

Fax

(208) 535-4906

NPI assigned

Jun 11, 2006

Last updated

Aug 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Georgetown University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: darryl.moffett.p1@direct.tri.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teton Retinal Institute PA

  • Ophthalmology Physician
  • Ammon, ID
  • NPI 1437274057
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1003858465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 E 17TH ST",
            "address_2": "SUITE 105",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066911",
            "telephone_number": "208-535-4900",
            "fax_number": "208-535-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 E 17TH ST",
            "address_2": "SUITE 105",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066911",
            "telephone_number": "208-535-4900",
            "fax_number": "208-535-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "DARRYL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "M-6263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002726100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie R Miller, MD
• Denise Milligan, LSW
• Anthony Mitchell, BS
• April A Moedl, LMSW
• Kimberly Moffat
• Gary Mondell, RPH
• Bridget Christine Moore, RN
• Joseph Reed Moore, M.D.
• Whitney Lee Moore, DNP, PMHNP
• Caitlin Morgan, LMSW

• Ophthalmology Physician in Ammon, ID
• Providers in Ammon, ID by specialty
• Ophthalmology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.