DR. JOHNSON LEE MOON (M.D.) – Neurology Physician, NPI 1457407579

DR. JOHNSON LEE MOON (M.D.) is a healthcare provider. based in Fullerton, California. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. A86444 (CA). The NPI Number for DR. JOHNSON LEE MOON (M.D.) is 1457407579

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHNSON LEE MOON (M.D.)
NPI
1457407579
Phone
(714) 879-7200
Address
381 E IMPERIAL HIGHWAY
Enumeration Date
25 January 2007
Last Update Date
8 July 2011

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
7148797200
Graduation Year
2002 (24 years ago)
PAC ID
3173604493
Group Practice PAC ID
4486617156
Professional Enrollment ID
I20080112000129
Address ID
CA928351040FU381XXHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,477 NEUROLOGY in CA

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Provider Addresses for DR. JOHNSON LEE MOON (M.D.)

  • 381, East Imperial Highway, Fullerton, Orange County, California, 92835, United States

    FULLERTON, CA 92835

    Phone: (714) 879-7200

    Fax: (714) 879-3010

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 82 Open Payments records for all available years, with a total value of $2,661.

Total Amount is formed as General ($2,661) + Research ($0) + Ownership ($0) = $2,661.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Abbott Laboratories ($1,078).

Total Amount

$2,661

General + Research + Ownership

Payments

82

Total payment records

General Amount

$2,661

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2008-01-12

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
I20080112000129INeurologyCATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes391236$0
99204New patient office or other outpatient visit, 45-59 minutes132132$0
95819Measurement of brain wave activity (eeg), awake and asleep5050$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4834$0
95816Measurement of brain wave activity (eeg), awake and drowsy4744$0
View full utilization report →

Insurance plans in this area (ZIP 92835)

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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: 4486617156View full group profile
NameSpecialtyState
Physician AssistantCA
N E U R O L O G YNY
N E U R O L O G YCA
N E U R O L O G YCA

Reviews

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Frequently asked questions

What NPI should I save for DR. JOHNSON LEE MOON (M.D.)?
Save NPI 1457407579 if you need a stable reference for DR. JOHNSON LEE MOON (M.D.).
Is DR. JOHNSON LEE MOON (M.D.) active in the national directory?
DR. JOHNSON LEE MOON (M.D.)'s public NPI profile is in an active state.
Can you summarize DR. JOHNSON LEE MOON (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. JOHNSON LEE MOON (M.D.) with Neurology Physician. Clinical services aligned with this taxonomy classification.
Does DR. JOHNSON LEE MOON (M.D.) practice in California?
You will see Fullerton, California on file for DR. JOHNSON LEE MOON (M.D.) alongside any extra practice locations.
Is DR. JOHNSON LEE MOON (M.D.) a real provider?
This page reflects official NPPES data for NPI 1457407579. Always confirm identity and privileges with the practice and licensing boards.

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