DR. MICHAEL D MOEN (M.D.) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1558351312
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,923 OBSTETRICS/GYNECOLOGY in IL
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Provider Addresses for DR. MICHAEL D MOEN (M.D.)
Dempster Street, Buffalo, Erie County, New York, 14206, United States
SUITE 665
PARK RIDGE, IL 600681186
Phone: (847) 825-1590
Fax: (847) 825-1604
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 15 Open Payments records for all available years, with a total value of $813.
Total Amount is formed as General ($813) + Research ($0) + Ownership ($0) = $813.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Axonics, Inc. ($285).
Total Amount
$813
General + Research + Ownership
Payments
15
Total payment records
General Amount
$813
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $285 |
| Boston Scientific Corporation | $237 |
| Laborie Medical Technologies Corp. | $182 |
| Sumitomo Pharma America, Inc. | $54 |
| 180 Medical, Inc. | $35 |
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: 2004-03-20
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 |
|---|---|---|---|---|
| I20040320000373 | I | Obstetrics/Gynecology | IL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 361 | 228 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 80 | 80 | $0 |
| 57160 | Fitting and insertion of vaginal support device | 40 | 24 | $0 |
| 51741 | Electronic assessment of bladder emptying | 37 | 37 | $0 |
| 51797 | Insertion of device into abdomen with pressure and urine flow rate study | 37 | 37 | $0 |
Insurance plans in this area (ZIP 60068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Obstetrics/Gynecology, Urology | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Urology, Obstetrics/Gynecology | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL |
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