MARY YUSOOK MOON (M.D.) – Family Medicine Physician, NPI 1124048202
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,190 FAMILY PRACTICE in CA
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Provider Addresses for MARY YUSOOK MOON (M.D.)
17360, Brookhurst Street, Colonia Juarez, Fountain Valley, Orange County, California, 92708, United States
ATTN: MCMF - CREDENTIALING DEPARTMENT
FOUNTAIN VALLEY, CA 927083720
Phone: (657) 241-3616
Type: Mailing
23512, Madero, Mission Viejo, Orange County, California, 92691, United States
MISSION VIEJO, CA 926912743
Phone: (949) 583-1600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $38.
Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.
Last reported payment date: 2023-08-07 • Largest payer in this snapshot: Orthofix Medical, Inc. ($38).
Total Amount
$38
General + Research + Ownership
Payments
2
Total payment records
General Amount
$38
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Orthofix Medical, Inc. | $38 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-10-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141030002669 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 375 | 341 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 182 | 176 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 122 | 118 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 108 | 108 | $0 |
| 81003 | Automated urinalysis test | 65 | 60 | $0 |
Insurance plans in this area (ZIP 92708)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Hospitalist, Internal Medicine | CA | |
| Family Practice | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Family Practice | CA | |
| Nurse Practitioner | CA | |
| Pain Management, Family Practice | MI | |
| Physician Assistant | CA |
Reviews
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