DR. JUNGSOO MOON DDS
NPI 1669624888
Dentist - Orthodontics and Dentofacial Orthopedics in Worcester, MA

Active since October 21, 2008PECOS Enrolled
10 WINTHROP ST, WORCESTER, MA 01604(508) 755-2207 Get Directions Write a Review

NPPES record last updated: August 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2017, Aug 16, 2016 (2 updates tracked since 2016).

About Dr. Jungsoo Moon Dds NPPES

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

DR. JUNGSOO MOON DDS (NPI 1669624888) is an individual orthodontics and dentofacial orthopedics provider in Worcester, Massachusetts, licensed in Georgia (DN015188) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669624888
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameDR. JUNGSOO MOONCredential: DDS
Location Address10 WINTHROP STWorcester, MA 01604-4435
Mailing Address10 Winthrop StWorcester, MA 01604-4435
Sole ProprietorYes
Enumeration DateOctober 21, 2008
Last NPPES UpdateAugust 20, 20172 updates tracked since enumeration
NPI 1669624888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in GA · DN015188
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
10 WINTHROP ST, Worcester, MA 01604

Accepted Insurance

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. Jungsoo 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 01604 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 20

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

Family Medicine
10 WINTHROP ST
WORCESTER, MA 01604
Neurological Surgery
10 WINTHROP ST
WORCESTER, MA 01604
Specialist
10 WINTHROP ST, SUITE 311
WORCESTER, MA 01604
Surgery (Vascular Surgery)
10 WINTHROP ST
WORCESTER, MA 01604
Internal Medicine (Cardiovascular Disease)
10 WINTHROP ST, VERNON MEDICAL CENTER
WORCESTER, MA 01604
Dentist (Orthodontics and Dentofacial Orthopedics)
10 WINTHROP ST, #210
WORCESTER, MA 01604
Internal Medicine
10 WINTHROP ST
WORCESTER, MA 01604
Pediatrics
10 WINTHROP ST
WORCESTER, MA 01604

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 Jungsoo Moon's NPI number?

The NPI number for Jungsoo Moon is 1669624888. It was assigned to this individual provider in the NPPES registry on October 21, 2008.

Where is Jungsoo Moon located?

Jungsoo Moon practices at 10 Winthrop St, Worcester, MA 01604. The listed phone number is (508) 755-2207.

What is Jungsoo Moon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Jungsoo Moon enrolled in Medicare?

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

What insurance does Jungsoo Moon accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jungsoo 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 Jungsoo Moon was last updated on August 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.