DAVID K. MOON (MD) – Hospitalist Physician, NPI 1609872753

DAVID K. MOON (MD) is a healthcare provider. based in Portland, Oregon. specializing in EMERGENCY MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD23264 (OR). The NPI Number for DAVID K. MOON (MD) is 1609872753

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DAVID K. MOON (MD)
NPI
1609872753
Phone
Not provided
Address
PO BOX 3158
Enumeration Date
23 June 2005
Last Update Date
26 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
5032162229
Graduation Year
1995 (31 years ago)
PAC ID
4981607710
Group Practice PAC ID
9335057447
Professional Enrollment ID
I20071113000522
Address ID
OR972256603PO9205XRDXX410
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

824 EMERGENCY MEDICINE in OR

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Provider Addresses for DAVID K. MOON (MD)

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone:

    Type: Mailing

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    PORTLAND, OR 972256603

    Phone: (503) 216-2906

    Fax: (503) 216-4114

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-04-19 • Largest payer in this snapshot: Novo Nordisk Inc ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$15
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: 2007-11-13

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
I20071113000522IEmergency MedicineORTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes13263$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7941$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4442$0
99239Hospital discharge day management, more than 30 minutes4343$0
99285Emergency department visit with high level of medical decision making2221$0
View full utilization report →

Insurance plans in this area (ZIP 97208)

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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: 9335057447View full group profile
NameSpecialtyState
Emergency MedicineMI
Hospitalist, Internal MedicineOR
Medical Oncology, HematologyFL
Pulmonary DiseaseOR
Hospitalist, Internal MedicineOR
-OR
E N D O C R I N O L O G YOR
General SurgeryOR
P A T H O L O G YOR
-OR

Reviews

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Frequently asked questions

Where can patients find DAVID K. MOON (MD)'s NPI?
You can confirm DAVID K. MOON (MD) with NPI 1609872753; it appears in the national provider directory.
Is DAVID K. MOON (MD)'s NPI currently valid?
The extract we use shows DAVID K. MOON (MD) as active.
Can you summarize DAVID K. MOON (MD)'s specialty in plain language?
Clinically, the directory lists DAVID K. MOON (MD) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DAVID K. MOON (MD)?
The page summarizes Portland, Oregon for DAVID K. MOON (MD); expand the address list for detail.
How can I contact DAVID K. MOON (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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