ANDREW S MOON (MD) – Orthopaedic Surgery Physician, NPI 1871159848

ANDREW S MOON (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 1022837 (MA). The NPI Number for ANDREW S MOON (MD) is 1871159848

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW S MOON (MD)
NPI
1871159848
Phone
(978) 201-2568
Address
45 STUART ST APT 2117
Enumeration Date
15 May 2019
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3104235000
Graduation Year
2019 (7 years ago)
PAC ID
2769718311
Group Practice PAC ID
0446169114
Professional Enrollment ID
I20240823003640
Address ID
CA900484165LO444XXBLVD500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Digital endpointsOther names

948 ORTHOPEDIC SURGERY in MA

Provider Addresses for ANDREW S MOON (MD)

  • 45 STUART ST APT 2117

    BOSTON, MA 021164769

    Phone: (978) 201-2568

    Type: Mailing

  • 54 HOPEDALE ST STE 3

    HOPEDALE, MA 017471719

    Phone: (617) 431-3121

    Type: Location

  • 7 HAY RD

    NEWTON, MA 024593609

    Phone: (978) 201-2568

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $2,779.

Total Amount is formed as General ($2,779) + Research ($0) + Ownership ($0) = $2,779.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Synthes GmbH ($1,114).

Total Amount

$2,779

General + Research + Ownership

Payments

32

Total payment records

General Amount

$2,779

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: 2025-10-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240823003640IOrthopedic SurgeryCATBD
I20251010002625IOrthopedic SurgeryMATBD

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 02116)

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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: 0446169114View full group profile
NameSpecialtyState
Critical Care (Intensivists), General SurgeryCA
-WA
Nurse PractitionerCA
Physician AssistantCA
Clinical PsychologistCA
Nurse PractitionerCA
N E U R O S U R G E R YOH
Nurse PractitionerCA
General Surgery, Critical Care (Intensivists)CA
Internal MedicineCA

Reviews

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Frequently asked questions

Can I verify ANDREW S MOON (MD) with an NPI only?
You can start verification with NPI 1871159848 for ANDREW S MOON (MD), then check state licensing separately.
Is ANDREW S MOON (MD) listed as active for patients and plans?
The listing shows ANDREW S MOON (MD) as active in the NPI system.
What is ANDREW S MOON (MD)'s primary classification?
Orthopaedic Surgery Physician is the headline specialty for ANDREW S MOON (MD) here. Clinical services aligned with this taxonomy classification.
What area does ANDREW S MOON (MD) serve?
ANDREW S MOON (MD)'s listing highlights Boston, Massachusetts; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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