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DR. LEAH NICOLE MOON MD
NPI 1417913526
Internal Medicine in Kingsport, TN

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
105 W STONE DR, STE 1F, KINGSPORT, TN 37660(423) 857-2793(423) 578-8025 Get Directions Write a Review

NPPES record last updated: May 7, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Leah Nicole Moon Md NPPES

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

DR. LEAH NICOLE MOON MD (NPI 1417913526) is an individual internal medicine provider in Kingsport, Tennessee, licensed in Tennessee (MD37074) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and is a graduate of East Tennessee State University Quillen College Of Medicine (1999).

NPPES Registry Identity

NPI1417913526
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. LEAH NICOLE MOONCredential: MD
Location Address105 W STONE DR, STE 1FKingsport, TN 37660-3365
Mailing AddressPo Box 9Kingsport, TN 37662-0009 · (423) 857-2066 · Fax (423) 857-2070
Phone(423) 857-2793
Fax(423) 578-8025
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 1999
Enumeration DateApril 26, 2006
Last NPPES UpdateMay 7, 2014
✔ NPI 1417913526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · MD37074
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
105 W STONE DR, Kingsport, TN 37660
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Other Identifiers 11

Medicare PIN3879851TN
Medicare UPINH74913
Medicaid7100019690KY
Medicare PINP00640965TN
Medicare PIN103I117673TN
Medicaid3879857TN
Medicare PIN3700592TN
Medicare PIN38798571TN
Other4106588TN · Bcbs
OtherTN01U8TN · John Deere
Medicaid38798571TN

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. Leah Nicole 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 ID7517995053
PECOS Enrollment IDI20050727000357
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
36 services35 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Lonesome Pine Hospital

Acute Care Hospitals · Big Stone Gap, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490114
Location1990 Holton Avenue EastBig Stone Gap, VA 24219 · Wise County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. DALLAS SHONE MD
Internal Medicine (Gastroenterology)
105 W STONE DR, STE 4C
KINGSPORT, TN 37660
Sullivan County (423) 578-1595
DR. EDWARD MONTY STIRMAN M.D.
Family Medicine
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Sullivan County (423) 323-6200
JERRY MILLER MD
Family Medicine
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Sullivan County (423) 392-6200
DR. CHERYL STANSKI MD
Surgery
105 W STONE DR, STE 4A
KINGSPORT, TN 37660
Sullivan County (423) 392-6265
DR. SCOTT FOWLER M.D.
Obstetrics & Gynecology
105 W STONE DR, STE 2B
KINGSPORT, TN 37660
Sullivan County (423) 247-7500
HOLSTON MEDICAL GROUP, PC
Durable Medical Equipment & Medical Supplies
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Sullivan County (423) 392-6200
DR. JAMES MCCOY M.D.
Family Medicine
105 W STONE DR, STE 1F
KINGSPORT, TN 37660
Sullivan County (276) 386-5980
ABRAM ARWOOD PT, DPT
Physical Therapist
105 W STONE DR, STE 1D
KINGSPORT, TN 37660
Sullivan County (423) 578-1560

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 Leah Moon's NPI number?

The NPI number for Leah Moon is 1417913526. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Leah Moon located?

Leah Moon practices at 105 W Stone Dr Ste 1F, Kingsport, TN 37660. The listed phone number is (423) 857-2793.

What is Leah Moon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Leah Moon enrolled in Medicare?

Yes. Leah 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 Leah Moon affiliated with any hospitals?

According to CMS data, Leah Moon is affiliated with Wellmont Bristol Regional Medical Center, Wellmont Holston Valley Medical Center and Lonesome Pine Hospital.

When was this NPI record last updated?

The NPPES record for Leah Moon was last updated on May 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.