DR. SCOTT ALLEN MOON (D.C.) – Chiropractor, NPI 1417206111

DR. SCOTT ALLEN MOON (D.C.) is a healthcare provider. based in Bennington, Nebraska. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 1734 (NE). The NPI Number for DR. SCOTT ALLEN MOON (D.C.) is 1417206111

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT ALLEN MOON (D.C.)
NPI
1417206111
Phone
Not provided
Address
8621 KILPATRICK PKWY
Enumeration Date
10 September 2012
Last Update Date
10 September 2012

Doctor Profile

Medical School Name
CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
Secondary Phone
4029344650
Graduation Year
2012 (14 years ago)
PAC ID
4688828916
Group Practice PAC ID
6507010832
Professional Enrollment ID
I20130213000555
Address ID
NE681162389OM17007PLZX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

570 CHIROPRACTIC in NE

Provider Addresses for DR. SCOTT ALLEN MOON (D.C.)

  • 8621 KILPATRICK PKWY

    BENNINGTON, NE 680073231

    Phone:

    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: 2013-02-13

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
I20130213000555IChiropracticNETBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions21526$0
View full utilization report →

Insurance plans in this area (ZIP 68007)

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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: 6507010832View full group profile
NameSpecialtyState
C H I R O P R A C T I CNE

Reviews

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Frequently asked questions

What federal number belongs to DR. SCOTT ALLEN MOON (D.C.)?
The federal identifier for DR. SCOTT ALLEN MOON (D.C.) is NPI 1417206111.
Is DR. SCOTT ALLEN MOON (D.C.) active in the national directory?
DR. SCOTT ALLEN MOON (D.C.)'s public NPI profile is in an active state.
What kind of provider is DR. SCOTT ALLEN MOON (D.C.)?
The page reflects Chiropractor for DR. SCOTT ALLEN MOON (D.C.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. SCOTT ALLEN MOON (D.C.)?
The snapshot lists Bennington, Nebraska for DR. SCOTT ALLEN MOON (D.C.); download NPPES for the complete set.
What if Bennington, Nebraska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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