ANDREW MOON DPT
NPI 1255641668
Physical Therapist - Orthopedic in San Francisco, CA
About Andrew Moon Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW MOON DPT (NPI 1255641668) is an individual orthopedic provider in San Francisco, California, licensed in California (37230) and active in the NPI registry since October 2010. He is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Andrew Moon Dpt 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.
Medicare Billing Reassignments
2Medicare enrollment records show Andrew Moon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salem, OR 97317
- Reassigned Medicare billing, Oregon and Washington enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
Portland, OR 97214
- Reassigned Medicare billing, Oregon enrollment
- 44 clinicians in this Medicare group
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.
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
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 Andrew Moon's NPI number?
The NPI number for Andrew Moon is 1255641668. It was assigned to this individual provider in the NPPES registry on October 19, 2010.
Where is Andrew Moon located?
Andrew Moon practices at 2425 Geary Blvd, San Francisco, CA 94115. The listed phone number is (415) 833-4718.
What is Andrew Moon's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Andrew Moon enrolled in Medicare?
Yes. Andrew 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 Andrew Moon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Moon reassigns Medicare benefits to 2 organizations: South Salem Rehabilitation, LLC (Salem, OR) and Therapydia, Inc. (Portland, OR). 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 Andrew Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Moon accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Andrew 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 Andrew Moon was last updated on October 19, 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.
# Andrew Moon, DPT · NPI 1255641668
Orthopedic provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since October 19, 2010.
## Identity
- **NPI:** 1255641668 (Entity type: Individual)
- **Enumerated:** October 19, 2010
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 37230 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2425 GEARY BLVD, San Francisco, CA 94115-3358
- **Phone:** (415) 833-4718
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): South Salem Rehabilitation, LLC (NPI 1215071998, Salem, OR); Therapydia, Inc. (NPI 1346672797, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** October 19, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1255641668) · Data from the CMS NPPES public registry.