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DAVID ROBERT MOON M.D.
NPI 1073573093
Radiology - Diagnostic Radiology in Palo Alto, CA

Active since March 24, 2006PECOS Enrolled
409 FULTON ST, PALO ALTO, CA 94301(952) 595-1100(612) 294-4903 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2024, Aug 3, 2017 (2 updates tracked since 2017).

About David Robert Moon M.d. NPPES

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

DAVID ROBERT MOON M.D. (NPI 1073573093) is an individual diagnostic radiology provider in Palo Alto, California, licensed in California (G69394) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Honolulu, and is a graduate of Icahn School Of Medicine At Mount Sinai (1989).

NPPES Registry Identity

NPI1073573093
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDAVID ROBERT MOONCredential: M.D.
Location Address409 FULTON STPalo Alto, CA 94301-1326
Mailing AddressPo Box 1239Palo Alto, CA 94302-1239 · (650) 815-5444
Phone(952) 595-1100
Fax(612) 294-4903
Sole ProprietorYes
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1989
Enumeration DateMarch 24, 2006
Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1073573093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in CA · G69394✔ Licensed in TX · L3024✔ Licensed in HI · 11711✔ Licensed in HI · MD11711
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
409 FULTON ST, Palo Alto, CA 94301
Open in Google Maps ↗

Secondary Practice Location 1

Location 11301 Punchbowl StHonolulu, HI 96813-2402 · Phone (808) 691-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Robert Moon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850335258
PECOS Enrollment IDI20260603000936
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

4

Medicare enrollment records show David Moon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Singleton Associates PA
1,610 mi
Diagnostic Radiology
9250 PINECROFT DR
Shenandoah, TX 77380
  • Reassigned Medicare billing, Texas enrollment
  • 1,278 clinicians in this Medicare group
NPI 1487811766 (936) 266-2000
Utmb Faculty Group Practice
1,672 mi
General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Nevada and Texas enrollments
NPI 1942241146 (409) 772-2222
Queens North Hawaii Community Hospital
2,343 mi
Home Health
67-1125 MAMALAHOA HWY
Kamuela, HI 96743
  • Reassigned Medicare billing, Hawaii enrollment
  • 277 clinicians in this Medicare group
NPI 1124009584 (808) 881-4400
Queens University Medical Group
2,403 mi
Multi-Specialty
1301 PUNCHBOWL ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 859 clinicians in this Medicare group
NPI 1891441382 (808) 691-1000

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

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
33 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94301 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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 David Moon's NPI number?

The NPI number for David Moon is 1073573093. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is David Moon located?

David Moon practices at 409 Fulton St, Palo Alto, CA 94301. The listed phone number is (952) 595-1100.

What is David Moon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is David Moon enrolled in Medicare?

Yes. David Moon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Moon reassigns Medicare benefits to 4 organizations: Singleton Associates PA (Shenandoah, TX), Utmb Faculty Group Practice (Galveston, TX), Queens North Hawaii Community Hospital (Kamuela, HI) and Queens University Medical Group (Honolulu, HI). 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 David Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Moon accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list David 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.

When was this NPI record last updated?

The NPPES record for David Moon was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.