Individual provider Active NPI

Tyler Moore, MD

  • Ophthalmology Physician
  • Fort Worth, TX
National Provider Identifier
1215375928
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R2178 Issued in TX
Practice address
5000 Collinwood Ave
Fort Worth, TX 76107-3606
Phone
(817) 732-5593
Fax
(817) 342-0388
NPI assigned
Jun 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X R2178 TX Primary

Addresses

Primary practice location

5000 Collinwood Ave
Fort Worth, TX 76107-3606

Mailing address

5000 Collinwood Ave.
Fort Worth, TX 76107-3606
Phone (817) 732-5593

Other identifiers 1

IdentifierTypeStateIssuer
372818001MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MooreTB@ranelle.updoxdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20170614000349 TX Practitioner - Ophthalmology 3375841729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas Tech University Health Science Center School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Worth Eye AssociatesGroup PAC ID 7214195932, 4 clinicians

Practice addresses (Care Compare)

5000 Collinwood Ave
Fort Worth, TX 76107-3606
Phone (817) 732-5593

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
84.48
Improvement activities
40
Cost
79.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Worth Eye Associates Ophthalmology CurrentSince Jul 1, 2017 Accepting new patients

Locations

3601 W 7th St
Fort Worth, TX 76107

5000 Collinwood Ave
Ft Worth, TX 76107
Phone (817) 594-0914

Interoperability endpoints

  • Direct secure messaging: mooretb@ranelle.updoxdirect.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215375928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COLLINWOOD AVE.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073606",
            "telephone_number": "817-732-5593",
            "fax_number": "817-342-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 COLLINWOOD AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073606",
            "telephone_number": "817-732-5593",
            "fax_number": "817-342-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-05",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "R2178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372818001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MooreTB@ranelle.updoxdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5000 Collinwood Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761073606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.