JESSICA SUE MOON
NPI 1154858702
Radiology - Diagnostic Radiology in Los Angeles, CA

Q: What is Jessica Moon's NPI number?

The NPI number for Jessica Moon is 1154858702. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Q: What is Jessica Moon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Moon was last updated on October 27, 2023. 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.

Active since May 15, 2017PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

757 WESTWOOD PLZ, LOS ANGELES, CA 90095(310) 267-9793 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2023, Jul 8, 2022, May 18, 2022 and 1 more (4 updates tracked since 2017).

On this page

About Jessica Sue Moon NPPES

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

JESSICA SUE MOON (NPI 1154858702) is an individual diagnostic radiology provider in Los Angeles, California, licensed in California (A157448) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Torrance, and is a graduate of University Of Washington School Of Medicine (2017).

NPPES Registry Identity

NPI1154858702

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameJESSICA SUE MOON

Location Address757 WESTWOOD PLZLos Angeles, CA 90095-8358

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(310) 267-9793

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2017

Enumeration DateMay 15, 2017

Last NPPES UpdateOctober 27, 20234 updates tracked since enumeration

NPPES CertifiedJuly 8, 2022

✔ NPI 1154858702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CA · A157448

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

757 WESTWOOD PLZ, Los Angeles, CA 90095

Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 W Carson StTorrance, CA 90502-2004 · Phone (206) 919-0782

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

Jessica Sue Moon 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 ID840677894

PECOS Enrollment IDI20220607001563

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 2

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 services27 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

Cost

90.14

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.

CATHERINE CHA MD

Anesthesiology

757 WESTWOOD PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 825-8041

DR. TIFFANY PRUGPICHAILERS PEDIGO M.D.

Pediatrics

757 WESTWOOD PLZ, B711 RRUMC
LOS ANGELES, CA 90095

Los Angeles County (310) 267-9129

SAMRAWIT ABRAHA

Anesthesiology

757 WESTWOOD PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 267-6629

KEN DEKITANI

Internal Medicine

757 WESTWOOD PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 267-7849

LAUREN M NESI

Urology

757 WESTWOOD PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 794-7700

JACQUELINE LABINS MD

Student in an Organized Health Care Education/Training Program

757 WESTWOOD PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 267-0903

JYODI DINESH MOHOLE MD

Student in an Organized Health Care Education/Training Program

757 WESTWOOD PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 267-9132

JASON THAMES HUYNH MD

Student in an Organized Health Care Education/Training Program

757 WESTWOOD PLZ
LOS ANGELES, CA 90095

Los Angeles County (310) 825-7375

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 Jessica Moon's NPI number?

The NPI number for Jessica Moon is 1154858702. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Where is Jessica Moon located?

Jessica Moon practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 267-9793.

What is Jessica Moon's specialty?

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

Is Jessica Moon enrolled in Medicare?

Yes. Jessica 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.

When was this NPI record last updated?

The NPPES record for Jessica Moon was last updated on October 27, 2023. 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.