DR. SCOTT D.M. MOON M.D. NPI 1366415309

NPI Information

NPI: 1366415309
Provider Name: DR. SCOTT D.M. MOON, M.D.
Classification: Radiology - 2085R0001X
Specialization: Radiation Oncology
Entity Type: Individual
PECOS Registration: Yes
Address: 1301 PUNCHBOWL ST
THE QUEEN'S MEDICAL CENTER DEPT OF RAD ONC
HONOLULU, HI
ZIP 96813
Phone: (808) 691-4771

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NPI Details

DR. Scott D.m. Moon, M.D. is a radiation oncology radiology in Honolulu, HI with 34 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Scott D.m. Moon, M.D. NPI is 1366415309. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

1301 PUNCHBOWL ST
THE QUEEN'S MEDICAL CENTER DEPT OF RAD ONC
HONOLULU, HI
ZIP 96813-402
Phone: (808) 691-4771
Fax: (808) 691-4507

The NPI 1366415309 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
Radiation treatment management, 5 treatment sessions (HCPCS:77427)
Calculation of radiation therapy dose (HCPCS:77300)
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or (HCPCS:G2212)
Design and construction of complex radiation treatment device (HCPCS:77334)
Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
Complex radiation therapy planning (HCPCS:77263)

The enumeration date for this NPI number is 2/9/2006 and was last updated on 5/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	MD93402	SOUTH CAROLINA	No
2	2085R0001X	Radiology	Radiation Oncology	7901	HAWAII	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F95536	OTHER	HAWAII	HMSA
2	07351208	MEDICAID	HAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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