DR. DANIEL KYEONGTAEK MOON (MD) – Orthopaedic Foot and Ankle Surgery Physician, NPI 1376864942

DR. DANIEL KYEONGTAEK MOON (MD) is a healthcare provider. based in Aurora, Colorado. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 261980 (MA). The NPI Number for DR. DANIEL KYEONGTAEK MOON (MD) is 1376864942

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL KYEONGTAEK MOON (MD)
NPI
1376864942
Phone
Not provided
Address
PO BOX 110429
Enumeration Date
17 June 2010
Last Update Date
24 March 2025

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
7205161100
Graduation Year
2010 (16 years ago)
PAC ID
3072742493
Group Practice PAC ID
3476465667
Professional Enrollment ID
I20161012001795
Address ID
CO801296688HI1500XDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:15State licenses:4Digital endpointsOther names

747 ORTHOPEDIC SURGERY in CO

Provider Addresses for DR. DANIEL KYEONGTAEK MOON (MD)

  • PO BOX 110429

    AURORA, CO 800420429

    Phone:

    Type: Mailing

  • 1635 AURORA CT

    AURORA, CO 800452541

    Phone: (720) 848-1900

    Type: Location

  • 1925 MOUNTAIN VIEW AVE

    LONGMONT, CO 805013128

    Phone: (720) 494-3132

    Fax: (720) 494-3107

    Type: Mailing

  • 1925 Mountain View Ave

    Longmont, CO 805013128

    Phone: (720) 494-3132

    Fax: (720) 494-3107

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $15,367.

Total Amount is formed as General ($3,690) + Research ($11,677) + Ownership ($0) = $15,367.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Acera Surgical, Inc. ($14,780).

Total Amount

$15,367

General + Research + Ownership

Payments

48

Total payment records

General Amount

$3,690

General payments

Research Amount

$11,677

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

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: 2016-10-12

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
I20161012001795IOrthopedic SurgeryCOTBD

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 minutes137103$0
99214Established patient office or other outpatient visit, 30-39 minutes6659$0
99203New patient office or other outpatient visit, 30-44 minutes4444$0
99204New patient office or other outpatient visit, 45-59 minutes3232$0
99215Established patient office or other outpatient visit, 40-54 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 80042)

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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: 3476465667View full group profile
NameSpecialtyState
-CO
Family PracticeCO
Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
Emergency MedicineCO
Emergency MedicineCO
-CO
-CO
Emergency MedicineCO
-CO
-CO

Reviews

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Frequently asked questions

What NPI should I save for DR. DANIEL KYEONGTAEK MOON (MD)?
Save NPI 1376864942 if you need a stable reference for DR. DANIEL KYEONGTAEK MOON (MD).
Is DR. DANIEL KYEONGTAEK MOON (MD)'s NPI currently valid?
The extract we use shows DR. DANIEL KYEONGTAEK MOON (MD) as active.
What does DR. DANIEL KYEONGTAEK MOON (MD) treat or focus on?
Patients typically see DR. DANIEL KYEONGTAEK MOON (MD) under the specialty Orthopaedic Foot and Ankle Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. DANIEL KYEONGTAEK MOON (MD)?
The snapshot lists Aurora, Colorado for DR. DANIEL KYEONGTAEK MOON (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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