DR. CHARLES MOON (M.D.) – Orthopaedic Surgery Physician, NPI 1376527440

DR. CHARLES MOON (M.D.) is a healthcare provider. based in Los angeles, California. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. A63715 (CA). The NPI Number for DR. CHARLES MOON (M.D.) is 1376527440

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES MOON (M.D.)
NPI
1376527440
Phone
(310) 423-9954
Address
PO BOX 512717
Enumeration Date
2 December 2005
Last Update Date
8 August 2014

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
3104235000
Graduation Year
1996 (30 years ago)
PAC ID
4688560790
Group Practice PAC ID
0446169114
Professional Enrollment ID
I20040225000854
Address ID
CA900484165LO444XXBLVD500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,024 ORTHOPEDIC SURGERY in CA

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Provider Addresses for DR. CHARLES MOON (M.D.)

  • Box, Lago del Salado, Los Angeles, San Nicolás de los Garza, Nuevo León, 66477, Mexico

    LOS ANGELES, CA 900510717

    Phone: (310) 423-9954

    Fax: (310) 423-9470

    Type: Mailing

  • Cedars-Sinai Medical Center, 8700, Beverly Boulevard, West Hollywood, Los Angeles County, California, 90048, United States

    LOS ANGELES, CA 900481865

    Phone: (310) 423-9954

    Fax: (310) 423-9470

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 315 Open Payments records for all available years, with a total value of $309,042.

Total Amount is formed as General ($309,042) + Research ($0) + Ownership ($0) = $309,042.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Paragon 28, Inc. ($68,259).

Total Amount

$309,042

General + Research + Ownership

Payments

315

Total payment records

General Amount

$309,042

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-02-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040225000854IOrthopedic SurgeryCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes206132$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7574$0
20610Aspiration and/or injection of fluid from large joint7148$0
99214Established patient office or other outpatient visit, 30-39 minutes5044$0
99204New patient office or other outpatient visit, 45-59 minutes4949$0
View full utilization report →

Insurance plans in this area (ZIP 90051)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446169114View full group profile
NameSpecialtyState
Critical Care (Intensivists), General SurgeryCA
-WA
Nurse PractitionerCA
Physician AssistantCA
Clinical PsychologistCA
Nurse PractitionerCA
N E U R O S U R G E R YOH
Nurse PractitionerCA
General Surgery, Critical Care (Intensivists)CA
Internal MedicineCA

Reviews

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Frequently asked questions

How is DR. CHARLES MOON (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. CHARLES MOON (M.D.) with NPI 1376527440.
Does the file indicate DR. CHARLES MOON (M.D.) is practicing under active NPI?
Directory data currently reports DR. CHARLES MOON (M.D.) as active.
What healthcare role does DR. CHARLES MOON (M.D.) hold?
Scheduling teams often label DR. CHARLES MOON (M.D.) under Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does DR. CHARLES MOON (M.D.) serve?
DR. CHARLES MOON (M.D.)'s listing highlights Los Angeles, California; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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