MATTHEW MOON – Diagnostic Radiology Physician, NPI 1063702603
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,085 DIAGNOSTIC RADIOLOGY in MD
Provider Addresses for MATTHEW MOON
4755 OGLETOWN STANTON RD
NEWARK, DE 197182200
Phone:
Type: Mailing
601 N CAROLINE ST
BALTIMORE, MD 212870006
Phone: (410) 955-9446
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-10-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20160629001250 | I | Diagnostic Radiology | MD | TBD |
| I20170727001170 | I | Diagnostic Radiology | DE | TBD |
| I20171011001762 | I | Diagnostic Radiology | PA | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,200 | 21 | $0 |
| 70450 | Ct scan head or brain without contrast | 824 | 790 | $0 |
| 71045 | X-ray of chest, 1 view | 762 | 638 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 359 | 347 | $0 |
| 72125 | Ct scan of upper spine without contrast | 347 | 340 | $0 |
Insurance plans in this area (ZIP 19718)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MD | 71010 | X-ray of chest, 1 view, front | 202 | 179 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | DE | |
| Nuclear Medicine, Diagnostic Radiology | DE | |
| Diagnostic Radiology | DE | |
| Physician Assistant | DE | |
| Internal Medicine, Pediatric Medicine | PA | |
| Diagnostic Radiology | DE | |
| G A S T R O E N T E R O L O G Y | PA | |
| Diagnostic Radiology | VA | |
| G A S T R O E N T E R O L O G Y | PA |
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