JOHN MOON (MD) – Orthopaedic Surgery Physician, NPI 1912400730

JOHN MOON (MD) is a healthcare provider. based in Evanston, Illinois. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 036169368 (IL). The NPI Number for JOHN MOON (MD) is 1912400730

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JOHN MOON (MD)
NPI
1912400730
Phone
(847) 570-2040
Address
2650 RIDGE AVE
Enumeration Date
18 March 2018
Last Update Date
1 October 2024

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
6305275359
Graduation Year
2018 (8 years ago)
PAC ID
1658629795
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20240522000738
Address ID
IL605407430NA801XXSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,265 ORTHOPEDIC SURGERY in IL

Provider Addresses for JOHN MOON (MD)

  • 2650 RIDGE AVE

    EVANSTON, IL 602011700

    Phone: (847) 570-2040

    Type: Mailing

  • 1740 W Taylor St

    Chicago, IL 606127232

    Phone: (866) 600-2273

    Type: Location

  • 6400 Fannin St Ste 1700

    Houston, TX 770301526

    Phone: (713) 486-5527

    Type: Location

  • 24600 W 127TH ST

    PLAINFIELD, IL 605859507

    Phone: (630) 646-7000

    Type: Location

  • 58th Avenue, Oakland Gardens, Queens, New York, 11364, United States

    OAKLAND GARDENS, NY 113641943

    Phone: (516) 528-6693

    Type: Mailing

  • University of Illinois at Chicago Hospital (UICH), 1740, West Taylor Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States

    CHICAGO, IL 606127232

    Phone: (866) 600-2273

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 111 Open Payments records for all available years, with a total value of $28,989.

Total Amount is formed as General ($28,989) + Research ($0) + Ownership ($0) = $28,989.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Smith+Nephew, Inc. ($15,146).

Total Amount

$28,989

General + Research + Ownership

Payments

111

Total payment records

General Amount

$28,989

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2024-05-22

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
I20240522000738IOrthopedic SurgeryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60201)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
Allergy/Immunology, Internal MedicineIL
Physician AssistantIL
Hematology/Oncology, Internal MedicineMO
Nurse PractitionerIL
Gynecological Oncology, Obstetrics/GynecologyIL

Reviews

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Frequently asked questions

What is the registry number for JOHN MOON (MD)?
The registry entry for JOHN MOON (MD) shows NPI 1912400730.
Is JOHN MOON (MD)'s NPI status active today?
Active status means JOHN MOON (MD)'s NPI record is not deactivated in the public file.
What does the directory say JOHN MOON (MD) does?
Insurance directories may phrase it differently, but here JOHN MOON (MD) maps to Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is JOHN MOON (MD) tied to Evanston, Illinois?
If you are local to Evanston, Illinois, JOHN MOON (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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