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BRIAN W MOON MD
NPI 1255430161
Anesthesiology in Fruita, CO

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
300 W OTTLEY AVE, FRUITA, CO 81521(970) 858-3900(970) 858-2202 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 26, 2024, Mar 22, 2023, Dec 15, 2022 and 1 more (4 updates tracked since 2019).

About Brian W Moon Md NPPES

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

BRIAN W MOON MD (NPI 1255430161) is an individual anesthesiology provider in Fruita, Colorado, licensed in Wyoming (14820A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rock Springs, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1993).

NPPES Registry Identity

NPI1255430161
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameBRIAN W MOONCredential: MD
Location Address300 W OTTLEY AVEFruita, CO 81521-2118
Mailing Address1200 College DrRock Springs, WY 82901-5868 · (307) 362-3711
Phone(970) 858-3900
Fax(970) 858-2202
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1993
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJune 26, 20244 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1255430161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in WY · 14820A✔ Licensed in CA · G80229
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
300 W OTTLEY AVE, Fruita, CO 81521
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Secondary Practice Location 1

Location 11200 College DrRock Springs, WY 82901-5868 · Phone (307) 362-3711

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian W 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 ID1153394754
PECOS Enrollment IDI20230302001296
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

3

Medicare enrollment records show Brian Moon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lower Valley Hospital Association
Same address
Critical Access
300 W OTTLEY AVE
Fruita, CO 81521
  • Reassigned Medicare billing, Colorado enrollment
  • Also billed through NPI 1346095098 (Colorado)
  • 83 clinicians in this Medicare group
NPI 1861496697 (970) 858-3900
Rangely Hospital District
63 mi
Family Medicine
225 EAGLE CREST DRIVE
Rangely, CO 81648
  • Reassigned Medicare billing, Colorado enrollment
  • 18 clinicians in this Medicare group
NPI 1730108747 (970) 675-5011
Memorial Hospital Of Sweetwater County
169 mi
Internal Medicine
1180 COLLEGE DRIVE
Rock Springs, WY 82901
  • Reassigned Medicare billing, Wyoming enrollment
  • 176 clinicians in this Medicare group
NPI 1437312436 (307) 352-8125

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ELIZABETH ANN MENSING MD
Family Medicine
300 W OTTLEY AVE
FRUITA, CO 81521
Mesa County (970) 858-3900
LOWER VALLEY HOSPITAL ASSOCIATION
Anesthesiology
300 W OTTLEY AVE
FRUITA, CO 81521
Mesa County (970) 858-2111
CAROLINA CARVELLI
Nurse Practitioner (Family)
300 W OTTLEY AVE
FRUITA, CO 81521
Mesa County (970) 858-3500
ERIN LYNN NOEL RN
Registered Nurse
300 W OTTLEY AVE
FRUITA, CO 81521
Mesa County (970) 858-2197
MEGAN H TRZASKOMA DO
Emergency Medicine
300 W OTTLEY AVE
FRUITA, CO 81521
Mesa County (970) 858-2186
NIKOS PETER HOLLIS NP
Nurse Practitioner (Family)
300 W OTTLEY AVE
FRUITA, CO 81521
Mesa County (970) 858-2585
ANDALIB DANANDEH MD
Family Medicine
300 W OTTLEY AVE
FRUITA, CO 81521
Mesa County (970) 858-2211
MARGARET ELIZABETH SCHLOFNER SLP
Speech-Language Pathologist
300 W OTTLEY AVE
FRUITA, CO 81521
Mesa County (970) 858-2572

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 Brian Moon's NPI number?

The NPI number for Brian Moon is 1255430161. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Brian Moon located?

Brian Moon practices at 300 W Ottley Ave, Fruita, CO 81521. The listed phone number is (970) 858-3900.

What is Brian Moon's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Brian Moon enrolled in Medicare?

Yes. Brian 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.

Which organizations bill Medicare for Brian Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Moon reassigns Medicare benefits to 3 organizations: Lower Valley Hospital Association (Fruita, CO), Rangely Hospital District (Rangely, CO) and Memorial Hospital Of Sweetwater County (Rock Springs, WY). 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 Brian Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Moon was last updated on June 26, 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.