DAVIS SUNGWHAN MOON (MD) – Vascular Surgery Physician, NPI 1043455306
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
218 VASCULAR SURGERY in GA
Provider Addresses for DAVIS SUNGWHAN MOON (MD)
613 Towne Park Dr W Ste 204
Rincon, GA 313265183
Phone: (912) 826-6771
Fax: (912) 295-5605
Type: Location
3 Richland Medical Park Dr
Columbia, SC 292036849
Phone: (803) 434-7100
Fax: (803) 434-6889
Type: Location
Waters Avenue, Rose Hill, Savannah, Chatham County, Georgia, 31406-4805, United States
SAVANNAH, GA 314046261
Phone: (912) 352-8346
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 101 Open Payments records for all available years, with a total value of $19,093.
Total Amount is formed as General ($19,093) + Research ($0) + Ownership ($0) = $19,093.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: AngioDynamics, Inc. ($15,742).
Total Amount
$19,093
General + Research + Ownership
Payments
101
Total payment records
General Amount
$19,093
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AngioDynamics, Inc. | $15,742 |
| W. L. Gore & Associates, Inc. | $897 |
| Cook Medical LLC | $688 |
| Abbott Laboratories | $497 |
| GE HEALTHCARE | $412 |
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: 2022-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190927002925 | I | Vascular Surgery | GA | TBD |
| I20220303002571 | I | Vascular Surgery | SC | 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 |
|---|---|---|---|---|
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 2,527 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 211 | 145 | $0 |
| 99153 | Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 107 | 29 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 74 | 62 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 69 | 57 | $0 |
Insurance plans in this area (ZIP 31326)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Vascular Surgery, General Surgery | GA | |
| Interventional Radiology, Diagnostic Radiology | GA | |
| Vascular Surgery | GA | |
| General Surgery | GA | |
| Interventional Radiology, Diagnostic Radiology | GA | |
| - | GA | |
| Vascular Surgery | GA | |
| Interventional Radiology, Diagnostic Radiology | GA | |
| Vascular Surgery | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.