Moss Jacob Fenberg, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

0050343 Issued in CO

Practice address

1266 Escalante Dr Ste 301
Durango, CO 81303-8934

Phone

(970) 828-2200

Fax

(970) 828-2201

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, NM2 enrollments

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 2

Specialty

Ophthalmology

Education

Wake Forest University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Eye Consultants PLLCGroup PAC ID 5991118606, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Animas Surgical Hospital, LLC Hospital, Durango, CO, CCN 060117

Merit-based Incentive Payment System (MIPS)

Final score

91.57 of 100Reported as group

Quality

100

Improvement activities

40

Cost

71.91

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Durango Infusion Center, LLC

  • Infusion Therapy Clinic/Center
  • Durango, CO
  • NPI 1548840192
  Medicare reassignment NPD Authorized official
• Southwest Eye Consultants PLLC

  • Ophthalmology Physician
  • Durango, CO
  • NPI 1386257475

  NM

  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Animas Surgical Hospital, LLC

  • Internal Medicine Physician
  • Durango, CO
  • NPI 1184178238

  Hospital

  Care Compare affiliation
• Animas Surgical Hospital, LLC

  • Urgent Care Clinic/Center
  • Durango, CO
  • NPI 1194161422

  Hospital

  Care Compare affiliation
• Animas Surgical Hospital, LLC

  • Occupational Medicine Physician
  • Durango, CO
  • NPI 1497071435

  Hospital

  Care Compare affiliation
• Animas Surgical Hospital, LLC

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1508842964
  Care Compare affiliation

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1396852943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 ESCALANTE DR STE 301",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038934",
            "telephone_number": "970-828-2200",
            "fax_number": "970-828-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 ESCALANTE DR STE 301",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038934",
            "telephone_number": "970-828-2200",
            "fax_number": "970-828-2201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S. sligo street",
            "address_2": "Bldge B Suite A",
            "address_purpose": "LOCATION",
            "city": "cortez",
            "state": "CO",
            "postal_code": "81321",
            "country_code": "US",
            "telephone_number": "970-828-2200",
            "fax_number": "970-828-2201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 E 30th St Ste N-105",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874018990",
            "country_code": "US",
            "telephone_number": "970-828-2200",
            "fax_number": "970-828-2201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 E 8TH AVE",
            "address_2": "STE N-101",
            "address_purpose": "LOCATION",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015708",
            "country_code": "US",
            "telephone_number": "970-828-2200",
            "fax_number": "970-828-2201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENBERG",
        "first_name": "MOSS",
        "middle_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NM",
            "license": "MD2012-0618",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CO",
            "license": "0050343",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "50343",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "MD2012-0618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Farmer
• Geoffrey Strider Farnsworth, M.D.
• Patricia B Faulkner, SLP
• Bailey Patricia Feeney, DACM
• Leah Swanson Fein, NCTM
• Catherine Fenster, APN
• Taylor Ferraro, LMT
• Barbara Jean Ferri, LCSW
• Colin W Ferring, BA, MS, LPCC
• Field T. Blevins MD PC

• Retina Specialist (Ophthalmology) Physician in Durango, CO
• Providers in Durango, CO by specialty
• Retina Specialist (Ophthalmology) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.