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FREDRIC MOON DO
NPI 1104819242
Obstetrics & Gynecology in Mineola, NY

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment
120 MINEOLA BLVD, SUITE 100, MINEOLA, NY 11501(516) 663-3010(516) 663-3026 Get Directions Write a Review

NPPES record last updated: February 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fredric Moon Do NPPES

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

FREDRIC MOON DO (NPI 1104819242) is an individual obstetrics & gynecology provider in Mineola, New York, licensed in New York (216307) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai South Nassau, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1994).

NPPES Registry Identity

NPI1104819242
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameFREDRIC MOONCredential: DO
Location Address120 MINEOLA BLVD, SUITE 100Mineola, NY 11501-4073
Mailing Address120 Mineola Blvd, Suite 100Mineola, NY 11501-4073 · (516) 663-3010 · Fax (516) 663-3026
Phone(516) 663-3010
Fax(516) 663-3026
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1994
Enumeration DateAugust 24, 2005
Last NPPES UpdateFebruary 9, 2010
✔ NPI 1104819242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 216307
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
120 MINEOLA BLVD, Mineola, NY 11501
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Other Identifiers 3

Medicaid02382350NY
Medicare UPINH25972
Medicare ID-Type Unspecified0P1701

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

Fredric Moon Do 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 ID5698807766
PECOS Enrollment IDI20100726000278
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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330198
LocationOne Healthy WayOceanside, NY 11572 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11501 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%488 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%172 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
79%378 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
73%378 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
35%378 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
36%378 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

MS. MARINA PAVLOVIC NP-C
Nurse Practitioner (Family)
120 MINEOLA BLVD
MINEOLA, NY 11501
Nassau County (516) 663-3000
JOSEPH CIOFFI
Obstetrics & Gynecology
120 MINEOLA BLVD, SUITE 100
MINEOLA, NY 11501
Nassau County (516) 663-3010
DR. JOSEPH PATRICK MAZZIE D.O.
Radiology (Diagnostic Radiology)
120 MINEOLA BLVD, SUITE 10 LOWER LEVEL
MINEOLA, NY 11501
Nassau County (516) 663-4510
PENNY EISENBERG LMSW
Social Worker
120 MINEOLA BLVD, SUITE 100
MINEOLA, NY 11501
Nassau County (516) 663-3010
WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORPOR
Thoracic Surgery (Cardiothoracic Vascular Surgery)
120 MINEOLA BLVD, SUITE 300
MINEOLA, NY 11501
Nassau County (516) 663-4400
DR. WENDY BALOPOLE M.D.
Internal Medicine (Medical Oncology)
120 MINEOLA BLVD, SUITE 430
MINEOLA, NY 11501
Nassau County (516) 742-5353
ANCA-OANA KRANZ MD
Radiology (Diagnostic Radiology)
120 MINEOLA BLVD, SUITE 10 LOWER LEVEL
MINEOLA, NY 11501
Nassau County (516) 663-4510
DR. HYE IN PARK M.D.
Obstetrics & Gynecology
120 MINEOLA BLVD
MINEOLA, NY 11501
Nassau County (646) 457-8851

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 Fredric Moon's NPI number?

The NPI number for Fredric Moon is 1104819242. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Fredric Moon located?

Fredric Moon practices at 120 Mineola Blvd Suite 100, Mineola, NY 11501. The listed phone number is (516) 663-3010.

What is Fredric Moon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Fredric Moon enrolled in Medicare?

Yes. Fredric 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.

Is Fredric Moon affiliated with any hospitals?

According to CMS data, Fredric Moon is affiliated with Mount Sinai South Nassau.

When was this NPI record last updated?

The NPPES record for Fredric Moon was last updated on February 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.