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MARK MOON MD
NPI 1437107034
Internal Medicine in Centerville, OH

Active since May 05, 2006Opted out of Medicare · through Jul 1, 2027
87.63/100
CMS Quality Rating
7707 PARAGON RD STE 101, CENTERVILLE, OH 45459(937) 208-6920(937) 208-6948 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Oct 5, 2020, Dec 10, 2019, Aug 8, 2018 and 1 more (4 updates tracked since 2017).

About Mark Moon Md NPPES

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

MARK MOON MD (NPI 1437107034) is an individual internal medicine provider in Centerville, Ohio, licensed in Ohio (35.126007) and active in the NPI registry since May 2006. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1437107034
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARK MOONCredential: MD
Location Address7707 PARAGON RD STE 101Centerville, OH 45459
Mailing AddressPo Box 3266St Augustine, FL 32085-3266 · (904) 819-4602 · Fax (937) 223-9811
Phone(937) 208-6920
Fax(937) 208-6948
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateOctober 5, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
✔ NPI 1437107034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OH · 35.126007✔ Licensed in FL · ME79597
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.
7707 PARAGON RD STE 101, Centerville, OH 45459
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mark Moon Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.35
Promoting Interoperability88.33
Improvement Activities40

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 Mark Moon's NPI number?

The NPI number for Mark Moon is 1437107034. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Mark Moon located?

Mark Moon practices at 7707 Paragon Rd Ste 101, Centerville, OH 45459. The listed phone number is (937) 208-6920.

What is Mark Moon's specialty?

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

Is Mark Moon enrolled in Medicare?

No. Mark Moon has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mark Moon accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mark 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 Mark Moon was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.