DR. VICTOR A MOON (M.D.) – Plastic Surgery Physician, NPI 1144403791
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
282 PLASTIC AND RECONSTRUCTIVE SURGERY in IL
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Provider Addresses for DR. VICTOR A MOON (M.D.)
Columbus Plaza, 233, East Wacker Drive, New East Side, Chicago, Cook County, Illinois, 60601, United States
#1402
CHICAGO, IL 606015104
Phone: (917) 686-4141
Type: Mailing
2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States
EMS 110, RM 3293
MAYWOOD, IL 601533328
Phone: (708) 327-2335
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $1,576.
Total Amount is formed as General ($1,576) + Research ($0) + Ownership ($0) = $1,576.
Last reported payment date: 2024-09-08 • Largest payer in this snapshot: AXOGEN ($1,576).
Total Amount
$1,576
General + Research + Ownership
Payments
8
Total payment records
General Amount
$1,576
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AXOGEN | $1,576 |
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: 2008-11-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081126000039 | I | Plastic And Reconstructive Surgery | NY | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 82 | 82 | $0 |
| 14301 | Repair of wound by transferring skin, 30.1-60.0 sq cm | 29 | 27 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 26 | 22 | $0 |
| 15734 | Creation of muscle graft to trunk | 23 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 18 | $0 |
Insurance plans in this area (ZIP 60601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Critical Care (Intensivists) | NY | |
| Diagnostic Radiology | NY | |
| - | NY | |
| Hospitalist, Family Practice | NY | |
| - | NY | |
| Infectious Disease | NC | |
| - | NY | |
| - | NY | |
| Cardiac Surgery, Vascular Surgery | NY | |
| - | CA |
Reviews
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