DR. DAVID MYUNGKEE MOON M.D.
NPI 1548213812
Radiology - Diagnostic Radiology in Edina, MN

Active since May 18, 2006PECOS Enrolled
100/100
CMS Quality Rating
3600 MINNESOTA DR STE 800, EDINA, MN 55435(952) 595-1100(612) 294-4903 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2024, Apr 18, 2019 (2 updates tracked since 2019).

About Dr. David Myungkee Moon M.d. NPPES

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

DR. DAVID MYUNGKEE MOON M.D. (NPI 1548213812) is an individual diagnostic radiology provider in Edina, Minnesota, licensed in California (A74811) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Md Shore Medical Center At Easton, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1548213812
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. DAVID MYUNGKEE MOONCredential: M.D.
Location Address3600 MINNESOTA DR STE 800Edina, MN 55435-7915
Mailing Address3600 Minnesota Dr Ste 800Edina, MN 55435-7915 · (952) 595-1301 · Fax (612) 294-4903
Fax(612) 294-4903
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 18, 2006
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1548213812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in CA · A74811✔ Licensed in VT · 042-0011269✔ Licensed in NV · 10202
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3600 MINNESOTA DR STE 800, Edina, MN 55435

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Myungkee Moon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769476555
PECOS Enrollment IDI20170317000558, I20190625003700
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.

Medicare Billing Reassignments

17

Medicare enrollment records show David Moon reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
3600 MINNESOTA DR STE 800
Edina, MN 55435
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Virtual Radiologic Professionals Of New York PA
  • 37 clinicians in this Medicare group
Diagnostic Radiology
20201 CRAWFORD AVE
Olympia Fields, IL 60461
  • Reassigned Medicare billing, New York enrollment
  • 18 clinicians in this Medicare group
Diagnostic Radiology
21 CROSSROADS DR STE 100
Owings Mills, MD 21117
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group
Radiology
426 INDUSTRIAL AVE STE 131
Williston, VT 05495
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group
Diagnostic Radiology
9250 PINECROFT DR
Shenandoah, TX 77380
  • Reassigned Medicare billing, New York enrollment
  • 18 clinicians in this Medicare group
Medicare Defined Swing Bed Unit
185 GRAFTON RD
Townshend, VT 05353
  • Reassigned Medicare billing, Vermont enrollment
  • Also billed through NPI 1255337473 (Vermont)
  • 74 clinicians in this Medicare group
General Acute Care Hospital
CORNER OF ROUTE N12 & N7
Fort Defiance, AZ 86504
  • Reassigned Medicare billing, Texas enrollment
  • 518 clinicians in this Medicare group
General Acute Care Hospital
1787 ALLENDALE FAIRFAX HWY
Fairfax, SC 29827
  • Reassigned Medicare billing, South Carolina enrollment
  • 62 clinicians in this Medicare group
Diagnostic Radiology
4700 WATERS AVE
Savannah, GA 31404
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
Vascular & Interventional Radiology
1400 S DOBSON RD
Mesa, AZ 85202
  • Reassigned Medicare billing, New York enrollment
  • 10 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.

Areas of Expertise CMS Part B claims 45

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
488 services467 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
462 services457 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
375 services369 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
291 services289 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
239 services239 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
168 services168 patients

Hospital Affiliations CMS Care Compare 5

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

University Of MD Shore Medical Center At Easton

Acute Care Hospitals · Easton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210037
Location219 South Washington StreetEaston, MD 21601 · Talbot County
Emergency services

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Woodland Heights Medical Center

Acute Care Hospitals · Lufkin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450484
Location505 South John Redditt DriveLufkin, TX 75904 · Angelina County
Emergency services Birthing friendly

Central Vermont Medical Center

Acute Care Hospitals · Barre, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470001
LocationBox 547Barre, VT 05641 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost90.14

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.

Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Vascular & Interventional Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435

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 1548213812. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is David Moon located?

David Moon practices at 3600 Minnesota Dr Ste 800, Edina, MN 55435. The listed phone number is (952) 595-1100.

What is David Moon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is David Moon enrolled in Medicare?

Yes. David Moon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Moon reassigns Medicare benefits to 17 organizations: Virtual Radiologic Professionals Of New York, P.A. (Edina, MN), Specialists In Medical Imaging Sc (Olympia Fields, IL), Advanced Radiology P A (Owings Mills, MD), Vermont Diagnostic Imaging LLC (Williston, VT), Singleton Associates PA (Shenandoah, TX) and 12 more organizations, listed in the Medicare section above. 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 David Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Moon accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of South Carolina and Sendero Health Plans, Local Nonprofit and 1 other insurer list David 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.

Is David Moon affiliated with any hospitals?

According to CMS data, David Moon is affiliated with University Of MD Shore Medical Center At Easton, Wynn Hospital, Self Regional Healthcare, Woodland Heights Medical Center and Central Vermont Medical Center.

When was this NPI record last updated?

The NPPES record for David Moon was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.