MR. DAVID MOON PA-C
NPI 1538469465
Physician Assistant in Henrico, VA

Active since October 26, 2010PECOS EnrolledAccepts Medicare Assignment
9920 INDEPENDENCE PARK DR STE 100, HENRICO, VA 23233(804) 285-7420(804) 565-9053 Get Directions Write a Review

NPPES record last updated: May 21, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. David Moon Pa-c NPPES

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

MR. DAVID MOON PA-C (NPI 1538469465) is an individual physician assistant in Henrico, Virginia, licensed in Virginia (0110003412) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1538469465
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DAVID MOONCredential: PA-C
Location Address9920 INDEPENDENCE PARK DR STE 100Henrico, VA 23233-1487
Mailing Address9920 Independence Park Dr Ste 100Henrico, VA 23233-1487 · (804) 285-7420
Fax(804) 565-9053
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 26, 2010
Last NPPES UpdateMay 21, 2013
NPI 1538469465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110003412
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9920 INDEPENDENCE PARK DR STE 100, Henrico, VA 23233

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

Mr. David Moon Pa-c 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 ID648453118
PECOS Enrollment IDI20120105000717
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23233 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Allergy & Immunology (Allergy)
9920 INDEPENDENCE PARK DR STE 100
HENRICO, VA 23233
Allergy & Immunology (Allergy)
9920 INDEPENDENCE PARK DR STE 100
HENRICO, VA 23233
Allergy & Immunology
9920 INDEPENDENCE PARK DR STE 100
HENRICO, VA 23233

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 David Moon's NPI number?

The NPI number for David Moon is 1538469465. It was assigned to this individual provider in the NPPES registry on October 26, 2010.

Where is David Moon located?

David Moon practices at 9920 Independence Park Dr Ste 100, Henrico, VA 23233. The listed phone number is (804) 285-7420.

What is David Moon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Moon enrolled in Medicare?

Yes. David 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.

When was this NPI record last updated?

The NPPES record for David Moon was last updated on May 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.