MR. DAVID MOON (PA-C) – Physician Assistant, NPI 1538469465

MR. DAVID MOON (PA-C) is a healthcare provider. based in Henrico, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110003412 (VA). The NPI Number for MR. DAVID MOON (PA-C) is 1538469465

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. DAVID MOON (PA-C)
NPI
1538469465
Phone
(804) 285-7420
Address
9920 INDEPENDENCE PARK DR STE 100
Enumeration Date
26 October 2010
Last Update Date
21 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8042857420
Graduation Year
2010 (16 years ago)
PAC ID
0648453118
Group Practice PAC ID
0143307207
Professional Enrollment ID
I20120105000717
Address ID
VA232331487HE9920XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for MR. DAVID MOON (PA-C)

  • 9920 INDEPENDENCE PARK DR STE 100

    HENRICO, VA 232331487

    Phone: (804) 285-7420

    Fax: (804) 565-9053

    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)

CMS reports 258 Open Payments records for all available years, with a total value of $5,494.

Total Amount is formed as General ($5,494) + Research ($0) + Ownership ($0) = $5,494.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($879).

Total Amount

$5,494

General + Research + Ownership

Payments

258

Total payment records

General Amount

$5,494

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: 2012-01-05

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
I20120105000717IPhysician AssistantVATBD

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 23233)

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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: 0143307207View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YVA
-VA
Physician AssistantVA
Allergy/Immunology, Pediatric MedicineVA
-VA
A L L E R G Y/ I M M U N O L O G YVA
A L L E R G Y/ I M M U N O L O G YVA

Reviews

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Frequently asked questions

Is there an official ID for MR. DAVID MOON (PA-C) in U.S. healthcare records?
The official identifier for MR. DAVID MOON (PA-C) is NPI 1538469465.
Active or inactive — what applies to MR. DAVID MOON (PA-C)?
You should see MR. DAVID MOON (PA-C) as active in CMS-hosted NPPES data.
What clinical focus is listed for MR. DAVID MOON (PA-C)?
At a glance, MR. DAVID MOON (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. DAVID MOON (PA-C)?
Travel planning: use Henrico, Virginia as the reference point for MR. DAVID MOON (PA-C), then confirm.
When was this NPI issued?
Enumeration for MR. DAVID MOON (PA-C) is noted as October 26, 2010 where the registry provides it.

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