DR. CHARLES M. MOON (MD) – Dermatology Physician, NPI 1487712295
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
337 DERMATOLOGY in MO
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Provider Addresses for DR. CHARLES M. MOON (MD)
2116 MEGAN DR
STE 102
CAPE GIRARDEAU, MO 637011979
Phone: (573) 335-7546
Fax: (573) 335-7550
Type: Mailing
1359, North Mount Auburn Road, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States
CAPE GIRARDEAU, MO 637011727
Phone: (573) 335-7546
Fax: (573) 335-7550
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 285 Open Payments records for all available years, with a total value of $57,292.
Total Amount is formed as General ($57,292) + Research ($0) + Ownership ($0) = $57,292.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($23,904).
Total Amount
$57,292
General + Research + Ownership
Payments
285
Total payment records
General Amount
$57,292
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $23,904 |
| Sun Pharmaceutical Industries Inc. | $21,060 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $4,309 |
| Lilly USA, LLC | $3,857 |
| STRATA Skin Sciences, Inc. | $383 |
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: 2009-11-23
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 |
|---|---|---|---|---|
| I20091123000344 | I | Dermatology | MO | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 9,819 | 1,322 | $0 |
| J3245 | Injection, tildrakizumab, 1 mg | 8,100 | 23 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 3,927 | 2,046 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 3,057 | 2,037 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 2,287 | 1,584 | $0 |
Insurance plans in this area (ZIP 63701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MO | 11101 | Biopsy of each additional growth of skin and/or tissue | 448 | 280 |
| DERMATOLOGY | MO | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 50 | 48 |
| DERMATOLOGY | MO | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 29 | 29 |
| DERMATOLOGY | MO | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 186 | 180 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| D E R M A T O L O G Y | IL | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO |
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