ALYSIA S MOON (AU.D., CCC-A) – Audiologist, NPI 1235302720

ALYSIA S MOON (AU.D., CCC-A) is a healthcare provider. based in Woburn, Massachusetts. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D., CCC-A. They hold a License No. 166183 (MA). The NPI Number for ALYSIA S MOON (AU.D., CCC-A) is 1235302720

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
ALYSIA S MOON (AU.D., CCC-A)
NPI
1235302720
Phone
(781) 573-3277
Address
23 WARREN AVE.
Enumeration Date
7 April 2008
Last Update Date
31 December 2012

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
7815733277
Graduation Year
1996 (30 years ago)
PAC ID
1658448683
Group Practice PAC ID
4082868963
Professional Enrollment ID
I20080917000407
Address ID
MA018014979WO23XXXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

288 QUALIFIED AUDIOLOGIST in MA

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Provider Addresses for ALYSIA S MOON (AU.D., CCC-A)

  • Medical Center at Choate, 23, Warren Avenue, Woburn, Middlesex County, Massachusetts, 01801, United States

    SUITE 130

    WOBURN, MA 018011851

    Phone: (781) 573-3277

    Fax: (781) 933-0478

    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)

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: 2008-09-17

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
I20080917000407IQualified AudiologistMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92567Test to assess middle ear function147146$0
92557Comprehensive hearing and speech recognition test146146$0
View full utilization report →

Insurance plans in this area (ZIP 01801)

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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: 4082868963View full group profile
NameSpecialtyState
Qualified AudiologistMA

Reviews

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Frequently asked questions

Is ALYSIA S MOON (AU.D., CCC-A) listed with a National Provider Identifier?
Yes — ALYSIA S MOON (AU.D., CCC-A) has NPI 1235302720 on file in the registry.
Active or inactive — what applies to ALYSIA S MOON (AU.D., CCC-A)?
You should see ALYSIA S MOON (AU.D., CCC-A) as active in CMS-hosted NPPES data.
What clinical focus is listed for ALYSIA S MOON (AU.D., CCC-A)?
At a glance, ALYSIA S MOON (AU.D., CCC-A) is tied to Audiologist. Clinical services aligned with this taxonomy classification.
Is ALYSIA S MOON (AU.D., CCC-A) associated with Woburn?
Public fields place ALYSIA S MOON (AU.D., CCC-A) around Woburn, Massachusetts. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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