SEONG-JIN MOON (MD) – Neurological Surgery Physician, NPI 1154717528

SEONG-JIN MOON (MD) is a healthcare provider. based in Detroit, Michigan. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. ME173842 (FL). The NPI Number for SEONG-JIN MOON (MD) is 1154717528

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
SEONG-JIN MOON (MD)
NPI
1154717528
Phone
Not provided
Address
4201 SAINT ANTOINE ST
Enumeration Date
12 April 2015
Last Update Date
26 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
3863021800
Graduation Year
2015 (11 years ago)
PAC ID
5395047138
Group Practice PAC ID
7012266836
Professional Enrollment ID
I20250516002918
Address ID
FL321374702PA1XXXXWAYX300

Contacts

Secure Messaging
smoon759892@fhsce.catholichealth.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness95
Years active:11State licenses:1Other names

241 NEUROSURGERY in MI

Provider Addresses for SEONG-JIN MOON (MD)

  • 4201 SAINT ANTOINE ST

    UNIV HLTH CTR 6E

    DETROIT, MI 482012153

    Phone:

    Type: Mailing

  • 770 W GRANADA BLVD STE 101

    ORMOND BEACH, FL 321745179

    Phone: (386) 231-4746

    Fax: (386) 368-8927

    Type: Mailing

  • 61 MEMORIAL MEDICAL PKWY STE 3808

    PALM COAST, FL 321645982

    Phone: (386) 586-4293

    Fax: (386) 586-4294

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $6,521.

Total Amount is formed as General ($6,521) + Research ($0) + Ownership ($0) = $6,521.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Globus Medical, Inc. ($2,972).

Total Amount

$6,521

General + Research + Ownership

Payments

40

Total payment records

General Amount

$6,521

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2025-05-16

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
I20231005003686INeurosurgeryTXTBD
I20250516002918INeurosurgeryFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4215$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1511$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1212$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 48201)

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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: 7012266836View full group profile
NameSpecialtyState
-FL
U R O L O G YFL
G A S T R O E N T E R O L O G YFL
Thoracic SurgeryFL
Nurse PractitionerGA
Internal MedicineNY
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineFL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

Is SEONG-JIN MOON (MD) listed with a National Provider Identifier?
Yes — SEONG-JIN MOON (MD) has NPI 1154717528 on file in the registry.
Active or inactive — what applies to SEONG-JIN MOON (MD)?
You should see SEONG-JIN MOON (MD) as active in CMS-hosted NPPES data.
How would a patient describe SEONG-JIN MOON (MD)'s focus?
For SEONG-JIN MOON (MD), the primary taxonomy reads as Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Is SEONG-JIN MOON (MD) located near Detroit?
SEONG-JIN MOON (MD) currently maps to Detroit, Michigan in this extract.
When was this NPI issued?
Enumeration for SEONG-JIN MOON (MD) is noted as April 12, 2015 where the registry provides it.

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