DAVIS SUNGWHAN MOON MD
NPI 1043455306
Surgery - Vascular Surgery in Savannah, GA

Active since December 15, 2008PECOS EnrolledAccepts Medicare Assignment
4750 WATERS AVE STE 500, SAVANNAH, GA 31404(912) 352-8346(912) 355-5515 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2022, Feb 23, 2022, Sep 13, 2019 and 2 more (5 updates tracked since 2019).

About Davis Sungwhan Moon Md NPPES

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

DAVIS SUNGWHAN MOON MD (NPI 1043455306) is an individual vascular surgery provider in Savannah, Georgia, licensed in Georgia (74207) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with Candler Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043455306
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDAVIS SUNGWHAN MOONCredential: MD
Location Address4750 WATERS AVE STE 500Savannah, GA 31404-6261
Mailing Address4750 Waters Ave Ste 500Savannah, GA 31404-6261 · (912) 352-8346
Fax(912) 355-5515
Sole ProprietorYes
Medical School CMSMercer University School Of MedicineGraduated 2012
Enumeration DateDecember 15, 2008
Last NPPES UpdateSeptember 13, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
NPI 1043455306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses Licensed in GA · 74207 Licensed in SC · 84913
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
4750 WATERS AVE STE 500, Savannah, GA 31404

Secondary Practice Locations 2

Location 1613 Towne Park Dr W Ste 204Rincon, GA 31326-5183 · Phone (912) 826-6771 · Fax (912) 295-5605
Location 23 Richland Medical Park DrColumbia, SC 29203-6849 · Phone (803) 434-7100 · Fax (803) 434-6889

Other Identifiers 2

Medicaid003223457HGA
Medicaid003223457AGA

Accepted 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

Davis Sungwhan Moon Md 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 ID8426351446
PECOS Enrollment IDI20190927002925, I20220303002571
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 24

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.

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
3,531 services33 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.
167 services131 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
109 services79 patients
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153
This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.
86 services21 patients
Injection, midazolam hydrochloride, per 1 mg J2250
Midazolam hydrochloride is a medication injected to help you relax or sleep before surgery or certain medical procedures. It works by calming the brain and nerves. It's given in small doses, measured in milligrams (mg).
64 services27 patients
Injection, fentanyl citrate, 0.1 mg J3010
Fentanyl citrate is a potent pain medication administered via injection. The 0.1 mg dosage is used to manage severe pain conditions. It works by blocking pain signals to the brain. It's crucial to follow the dosage instructions to prevent potential side effects.
56 services27 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Candler Hospital

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110024
Location5353 Reynolds StreetSavannah, GA 31412 · Chatham County
Emergency services Birthing friendly

Southeast Georgia Health System- Brunswick Campus

Acute Care Hospitals · Brunswick, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110025
Location2415 Parkwood DriveBrunswick, GA 31520 · Glynn County
Emergency services

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110036
Location4700 Waters AvenueSavannah, GA 31404 · Chatham County
Emergency services Birthing friendly

St Joseph's Hospital - Savannah

Acute Care Hospitals · Savannah, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110043
Location11705 Mercy BoulevardSavannah, GA 31419 · Chatham County
Emergency services

Memorial Health Meadows Hospital

Acute Care Hospitals · Vidalia, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110128
LocationOne Meadows ParkwayVidalia, GA 30474 · Toombs County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31404 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 5

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

Radiology (Vascular & Interventional Radiology)
4750 WATERS AVE STE 500
SAVANNAH, GA 31404
Specialist/Technologist, Other (Surgical Assistant)
4750 WATERS AVE STE 500
SAVANNAH, GA 31404
Surgery (Vascular Surgery)
4750 WATERS AVE STE 500
SAVANNAH, GA 31404
Surgery (Vascular Surgery)
4750 WATERS AVE STE 500
SAVANNAH, GA 31404
Nurse Practitioner (Adult Health)
4750 WATERS AVE STE 500
SAVANNAH, GA 31404

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 Davis Moon's NPI number?

The NPI number for Davis Moon is 1043455306. It was assigned to this individual provider in the NPPES registry on December 15, 2008.

Where is Davis Moon located?

Davis Moon practices at 4750 Waters Ave Ste 500, Savannah, GA 31404. The listed phone number is (912) 352-8346.

What is Davis Moon's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Davis Moon enrolled in Medicare?

Yes. Davis Moon 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 Davis Moon accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Davis Moon 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.

Is Davis Moon affiliated with any hospitals?

According to CMS data, Davis Moon is affiliated with Candler Hospital, Southeast Georgia Health System- Brunswick Campus, Memorial University Medical Center, St Joseph's Hospital - Savannah and Memorial Health Meadows Hospital.

When was this NPI record last updated?

The NPPES record for Davis Moon was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.