PAUL OH SUNG MOON M.D.
NPI 1689690398
Surgery in The Dalles, OR

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
1810 E 19TH ST STE 225, THE DALLES, OR 97058(541) 296-6101(541) 296-0025 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul Oh Sung Moon M.d. NPPES

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

PAUL OH SUNG MOON M.D. (NPI 1689690398) is an individual surgery provider in The Dalles, Oregon, licensed in Oregon (MD18425) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mid-columbia Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1987).

NPPES Registry Identity

NPI1689690398
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePAUL OH SUNG MOONCredential: M.D.
Location Address1810 E 19TH ST STE 225The Dalles, OR 97058-3388
Mailing Address1810 E 19th St Ste 225The Dalles, OR 97058-3388 · (541) 296-6101 · Fax (541) 296-0025
Fax(541) 296-0025
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1987
Enumeration DateJuly 14, 2006
Last NPPES UpdateMarch 29, 2016
NPI 1689690398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in OR · MD18425
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1810 E 19TH ST STE 225, The Dalles, OR 97058

Other Identifiers 7

Medicare UPINF59053
Medicaid056940OR
Medicaid8149056WA
Medicare PIN00WCJJFCOR
Medicare PIN330002704OR
Medicare UPINR183268OR
Medicare PIN8853808WA

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 and accepts Medicare assignment

Paul Oh Sung Moon M.d. 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 ID4789629874
PECOS Enrollment IDI20101027001068
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.

Areas of Expertise CMS Part B claims 20

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
161 services157 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
133 services118 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
96 services96 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
60 services59 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
46 services46 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
41 services41 patients

Hospital Affiliations CMS Care Compare

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

Mid-Columbia Medical Center

Acute Care Hospitals · The Dalles, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380001
Location1700 E 19th StreetThe Dalles, OR 97058 · Wasco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97058 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 4

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

Anesthesiology
1810 E 19TH ST STE 225
THE DALLES, OR 97058
Anesthesiology
1810 E 19TH ST STE 225
THE DALLES, OR 97058
Surgery
1810 E 19TH ST STE 225
THE DALLES, OR 97058
Surgery
1810 E 19TH ST STE 225
THE DALLES, OR 97058

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 Paul Moon's NPI number?

The NPI number for Paul Moon is 1689690398. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Paul Moon located?

Paul Moon practices at 1810 E 19th St Ste 225, The Dalles, OR 97058. The listed phone number is (541) 296-6101.

What is Paul Moon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Paul Moon enrolled in Medicare?

Yes. Paul 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.

What insurance does Paul Moon accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Paul 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 Paul Moon affiliated with any hospitals?

According to CMS data, Paul Moon is affiliated with Mid-Columbia Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Moon was last updated on March 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.