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DR. HYE KYUNG MOON OD
NPI 1407789837
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since June 05, 2026PECOS EnrolledAccepts Medicare Assignment
930 COMMONWEALTH AVE, BOSTON, MA 02215(617) 262-2020 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Hye Kyung Moon Od NPPES

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

DR. HYE KYUNG MOON OD (NPI 1407789837) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2026).

NPPES Registry Identity

NPI1407789837
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. HYE KYUNG MOONCredential: OD
Location Address930 COMMONWEALTH AVEBoston, MA 02215-1274
Mailing Address930 Commonwealth AveBoston, MA 02215-1274
Phone(617) 262-2020
Sole ProprietorNo
Medical School CMSUniversity Of California - School Of OptometryGraduated 2026
Enumeration DateJune 5, 2026
NPPES CertifiedJune 5, 2026
✔ NPI 1407789837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
930 COMMONWEALTH AVE, Boston, MA 02215
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Other Names 1

Other Name (5)Dr. Hye Kyung Moon Od

Accepted Insurance

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

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

Dr. Hye Kyung Moon Od 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 ID7618439753
PECOS Enrollment IDI20260919000621
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.

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.

DR. BRITTNEY JAYE MAZZA O.D.
Optometrist
930 COMMONWEALTH AVE, SUITE 2A
BOSTON, MA 02215
Suffolk County (617) 262-2020
DR. RAJVINDER KAUR PABLA OD
Optometrist (Pediatrics)
930 COMMONWEALTH AVE, SUITE 2A
BOSTON, MA 02215
Suffolk County (617) 529-9077
MARISSA PROVENCHER
Registered Nurse (Ambulatory Care)
930 COMMONWEALTH AVE
BOSTON, MA 02215
Suffolk County (617) 414-6800
MS. JENNFIER KALDENBERG O.T.
Occupational Therapist
930 COMMONWEALTH AVE
BOSTON, MA 02215
Suffolk County (617) 262-2020
DR. TIMOTHY J BOSSIE O.D.
Optometrist
930 COMMONWEALTH AVE
BOSTON, MA 02215
Suffolk County (617) 262-2020
DR. MARGARET ROSE ERRANTE D.D.S.
Dentist (General Practice)
930 COMMONWEALTH AVE
BOSTON, MA 02215
Suffolk County (617) 358-1000
DR. ELIZABETH PALLANTE OD
Optometrist
930 COMMONWEALTH AVE
BOSTON, MA 02215
Suffolk County (617) 262-2020
MS. KARA ELIZABETH GERGER O.D.
Optometrist
930 COMMONWEALTH AVE, SUITE 2A
BOSTON, MA 02215
Suffolk County (617) 262-2020

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 Hye Kyung Moon's NPI number?

The NPI number for Hye Kyung Moon is 1407789837. It was assigned to this individual provider in the NPPES registry on June 5, 2026. The provider is also known as Dr. Hye Kyung Moon Od.

Where is Hye Kyung Moon located?

Hye Kyung Moon practices at 930 Commonwealth Ave, Boston, MA 02215. The listed phone number is (617) 262-2020.

What is Hye Kyung Moon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Hye Kyung Moon enrolled in Medicare?

Yes. Hye Kyung 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.

What insurance does Hye Kyung Moon accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Hye Kyung 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 Hye Kyung Moon was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.