DR. MICHAEL MOON M.D. NPI 1619014230

NPI Details

DR. Michael Moon, M.D. is an interventional pain medicine pain medicine in San Diego, CA with 31 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. DR. Michael Moon, M.D. NPI is 1619014230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

5348 CARROLL CANYON RD
SUITE 101
SAN DIEGO, CA
ZIP 92121-733
Phone: (858) 202-1546
Fax: (858) 202-1548

The NPI 1619014230 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 CLIA number assigned to this NPI record is 05D2090549 - physician office with a certificate type of Certificate of Waiver.

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.

• Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
• Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Re-evaluation for physical therapy, typically 20 minutes (HCPCS:97164)
• Evaluation for physical therapy, typically 30 minutes (HCPCS:97162)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)

The enumeration date for this NPI number is 1/31/2007 and was last updated on 9/24/2012.

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:

Other Identifiers

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