LISA MOON MD
NPI 1801157532
Obstetrics & Gynecology in Oklahoma City, OK

Active since May 29, 2012PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
920 SL YOUNG BLVD, OKLAHOMA CITY, OK 73104(405) 271-8470 Get Directions Write a Review

NPPES record last updated: April 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Moon Md NPPES

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

LISA MOON MD (NPI 1801157532) is an individual obstetrics & gynecology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (29270) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2012).

NPPES Registry Identity

NPI1801157532
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLISA MOONCredential: MD
Location Address920 SL YOUNG BLVDOklahoma City, OK 73104-5036
Mailing Address920 Sl Young BlvdOklahoma City, OK 73104-5036 · (405) 271-8470
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2012
Enumeration DateMay 29, 2012
Last NPPES UpdateApril 28, 2016
NPI 1801157532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in OK · 29270
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
920 SL YOUNG BLVD, Oklahoma City, OK 73104

Other Names 1

Former Name (1)Lisa Mannel Md

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

Lisa Moon Md 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 ID840599866
PECOS Enrollment IDI20180625003593
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 73104 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

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)
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Otolaryngology
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Internal Medicine (Rheumatology)
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Surgery
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Psychiatry & Neurology (Psychiatry)
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Obstetrics & Gynecology
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Physician Assistant
920 SL YOUNG BLVD, WP1310
OKLAHOMA CITY, OK 73104
Surgery
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104

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 Lisa Moon's NPI number?

The NPI number for Lisa Moon is 1801157532. It was assigned to this individual provider in the NPPES registry on May 29, 2012. The provider is also known as Lisa Mannel MD.

Where is Lisa Moon located?

Lisa Moon practices at 920 Sl Young Blvd, Oklahoma City, OK 73104. The listed phone number is (405) 271-8470.

What is Lisa Moon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lisa Moon enrolled in Medicare?

Yes. Lisa 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 Lisa Moon accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Lisa 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 Lisa Moon was last updated on April 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.