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DR. MICHAEL C MOON DDS
NPI 1629189360
Dentist - General Practice in Washington, IL

Active since August 31, 2006PECOS Enrolled
1762 WASHINGTON RD, WASHINGTON, IL 61571(309) 444-3207 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael C Moon Dds NPPES

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

DR. MICHAEL C MOON DDS (NPI 1629189360) is an individual general practice provider in Washington, Illinois and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629189360
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL C MOONCredential: DDS
Location Address1762 WASHINGTON RDWashington, IL 61571-2278
Mailing Address1762 Washington RdWashington, IL 61571-2278 · (309) 444-3207
Phone(309) 444-3207
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629189360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1762 WASHINGTON RD, Washington, IL 61571
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael C Moon Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 61571 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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 Michael Moon's NPI number?

The NPI number for Michael Moon is 1629189360. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Michael Moon located?

Michael Moon practices at 1762 Washington Rd, Washington, IL 61571. The listed phone number is (309) 444-3207.

What is Michael Moon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Michael Moon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michael Moon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.