MICHAEL EDWARDS MOON
NPI 1710601349
Nurse Practitioner - Acute Care in Troy, MI

Active since September 27, 2022PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
44201 DEQUINDRE RD, TROY, MI 48085(248) 964-5000 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 14, 2022, Sep 27, 2022 (2 updates tracked since 2022).

About Michael Edwards Moon NPPES

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

MICHAEL EDWARDS MOON (NPI 1710601349) is an individual acute care provider in Troy, Michigan, licensed in Michigan (4704387584) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital, Troy, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2022).

NPPES Registry Identity

NPI1710601349
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMICHAEL EDWARDS MOON
Location Address44201 DEQUINDRE RDTroy, MI 48085-1117
Mailing Address44201 Dequindre RdTroy, MI 48085-1117 · (248) 964-5000
Sole ProprietorYes
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2022
Enumeration DateSeptember 27, 2022
Last NPPES UpdateNovember 14, 20222 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
NPI 1710601349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 4704387584
44201 DEQUINDRE RD, Troy, MI 48085

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

Michael Edwards Moon 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 ID5991173668
PECOS Enrollment IDI20221130002480
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.

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48085 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Nurse Practitioner (Family)
44201 DEQUINDRE RD
TROY, MI 48085
Pathology (Anatomic Pathology & Clinical Pathology)
44201 DEQUINDRE RD
TROY, MI 48085
Hospitalist
44201 DEQUINDRE RD
TROY, MI 48085
Nurse Practitioner (Adult Health)
44201 DEQUINDRE RD
TROY, MI 48085
Nurse Anesthetist, Certified Registered
44201 DEQUINDRE RD
TROY, MI 48085
Nurse Anesthetist, Certified Registered
44201 DEQUINDRE RD, 400 FSC - PCS
TROY, MI 48085
Nurse Anesthetist, Certified Registered
44201 DEQUINDRE RD
TROY, MI 48085
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085

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 1710601349. It was assigned to this individual provider in the NPPES registry on September 27, 2022.

Where is Michael Moon located?

Michael Moon practices at 44201 Dequindre Rd, Troy, MI 48085. The listed phone number is (248) 964-5000.

What is Michael Moon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Michael Moon enrolled in Medicare?

Yes. Michael 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 Michael Moon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health list Michael 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 Michael Moon affiliated with any hospitals?

According to CMS data, Michael Moon is affiliated with Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Michael Moon was last updated on November 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.