Active NPI 1457765968 Individual Practitioner Female Practitioner

Dr. Summer Moon , DO

Dermatology • Largo, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Summer Moon, DO is a certified Dermatology practicing in Largo, FL. With approximately 13 years of clinical experience since graduating from Lake Erie College Of Osteopathic Medicine, Erie in 2013, Dr. Moon delivers high-quality medical care to the local community at 115 HIGHLAND AVE N.

Dr. Moon is affiliated with Bay Dermatology And Cosmetic Surgery P A and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

115 Highland Ave N

Largo, FL 33770

Telephone 7275858591

Fax 7275840614

Medicare Profile & Education

Medical School

Lake Erie College Of Osteopathic Medicine, Erie

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Largo, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -1.8 yrs vs City Avg

City Avg: 14.8 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

6 Specialists

Practicing in Largo, FL (1273 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moon (13 Years) 13 Yrs

Largo Specialty Average (14.8 Years) 14.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,991	465	$12.64	$6.22
99213 Established patient office or other outpatient visit, typically 15 minutes	868	533	$179.17	$88.16
17000 Destruction of skin growth	817	545	$131.78	$45.34
11102 Tangential biopsy of single skin lesion	498	400	$193.63	$81.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	452	369	$252.24	$124.25
11103 Biopsy of related skin growth, each additional growth	334	185	$97.21	$47.85
17110 Destruction of up to 14 skin growths	293	234	$219.33	$104.55
96900 Application of ultraviolet light to skin	155	12	$47.16	$23.22
G6001 Ultrasonic guidance for placement of radiation therapy fields	144	15	$340.84	$167.69
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	134	11	$509.34	$250.65
77401 Radiation treatment delivery, superficial	132	11	$78.50	$38.62
17004 Destruction of precancer skin growth, 15 or more growths	108	93	$325.20	$159.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	70	38	$2.03	$1.00
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	66	60	$784.96	$388.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$331.04	$163.49
96574 Application of light with debridement to destroy precancer skin growth	65	59	$524.96	$258.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$221.63	$109.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	23	$111.23	$54.73
11900 Injection into skin growth, 1-7 growths	32	25	$112.33	$37.99
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	30	25	$773.22	$380.63
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	21	$336.67	$85.84
69100 Biopsy of ear	22	20	$185.45	$66.55
11901 Injection into skin growth, more than 7 growths	22	15	$137.73	$53.93
17111 Destruction of skin growth, 15 or more growths	20	16	$257.92	$126.91
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	17	17	$829.40	$396.04
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	15	$348.09	$160.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,036	456	$12.89	$6.34
17000 Destruction of skin growth	836	555	$132.71	$45.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	707	488	$253.71	$125.18
99213 Established patient office or other outpatient visit, typically 15 minutes	662	377	$179.08	$88.48
11102 Tangential biopsy of single skin lesion	497	393	$199.55	$84.40
17110 Destruction of up to 14 skin growths	321	254	$222.76	$107.93
11103 Biopsy of related skin growth, each additional growth	223	135	$98.90	$48.77
G6001 Ultrasonic guidance for placement of radiation therapy fields	147	11	$346.78	$170.62
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	145	11	$518.70	$255.20
17004 Destruction of precancer skin growth, 15 or more growths	128	106	$333.76	$164.74
96900 Application of ultraviolet light to skin	128	13	$46.73	$23.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$332.80	$164.42
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	71	58	$784.96	$384.70
96574 Application of light with debridement to destroy precancer skin growth	71	58	$541.81	$267.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	64	30	$2.18	$1.07
69100 Biopsy of ear	37	35	$191.01	$61.18
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	36	30	$352.42	$160.11
11900 Injection into skin growth, 1-7 growths	34	24	$112.98	$40.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$224.43	$111.00
17111 Destruction of skin growth, 15 or more growths	15	13	$260.96	$128.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,812	442	$13.17	$6.54
17000 Destruction of skin growth	763	528	$134.47	$46.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	600	431	$255.89	$127.13
99213 Established patient office or other outpatient visit, typically 15 minutes	549	340	$181.70	$90.58
11102 Tangential biopsy of single skin lesion	484	394	$203.67	$87.60
88305 Pathology examination of tissue using a microscope, intermediate complexity	466	280	$65.34	$32.66
17110 Destruction of up to 14 skin growths	274	217	$225.21	$109.69
11103 Biopsy of related skin growth, each additional growth	228	143	$101.76	$50.66
96900 Application of ultraviolet light to skin	152	15	$46.48	$23.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	136	136	$337.81	$168.41
17004 Destruction of precancer skin growth, 15 or more growths	110	89	$334.86	$167.02
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	67	32	$2.26	$1.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$226.81	$112.96
11900 Injection into skin growth, 1-7 growths	37	25	$113.10	$39.69
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	33	30	$784.96	$379.40
96574 Application of light with debridement to destroy precancer skin growth	32	29	$558.70	$274.53
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	25	$365.64	$161.71
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$801.90	$400.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,780	376	$12.83	$6.33
99213 Established patient office or other outpatient visit, typically 15 minutes	808	441	$182.47	$91.36
88305 Pathology examination of tissue using a microscope, intermediate complexity	738	349	$63.97	$32.06
17000 Destruction of skin growth	723	453	$132.25	$44.99
11102 Tangential biopsy of single skin lesion	462	354	$206.34	$90.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	342	251	$259.44	$129.81
11103 Biopsy of related skin growth, each additional growth	271	154	$106.55	$52.33
17110 Destruction of up to 14 skin growths	226	169	$223.51	$109.03
17004 Destruction of precancer skin growth, 15 or more growths	126	95	$328.36	$164.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$225.81	$111.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$338.57	$169.63
96900 Application of ultraviolet light to skin	69	11	$44.90	$22.53
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	59	45	$354.84	$155.41
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	57	39	$778.40	$389.20
96574 Application of light with debridement to destroy precancer skin growth	53	38	$562.68	$281.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	40	20	$2.56	$1.28
11900 Injection into skin growth, 1-7 growths	31	18	$112.17	$43.53
88342 Special stained specimen slides to examine tissue, initial procedure	26	23	$133.38	$66.93
69100 Biopsy of ear	22	22	$197.17	$67.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$110.16	$56.00
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	12	$810.64	$406.86
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	11	$294.74	$141.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,636	242	$11.91	$5.85
99213 Established patient office or other outpatient visit, typically 15 minutes	641	368	$150.29	$74.94
88305 Pathology examination of tissue using a microscope, intermediate complexity	521	267	$61.10	$30.58
17000 Destruction of skin growth	435	302	$132.68	$46.22
11102 Tangential biopsy of single skin lesion	323	267	$202.12	$91.83
11103 Biopsy of related skin growth, each additional growth	198	109	$108.64	$52.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	154	$217.99	$109.51
17110 Destruction of up to 14 skin growths	100	81	$221.68	$108.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$217.26	$107.53
17004 Destruction of precancer skin growth, 15 or more growths	55	43	$314.84	$157.86
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	40	33	$789.01	$393.25
96574 Application of light with debridement to destroy precancer skin growth	39	32	$522.97	$262.35
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	34	28	$359.65	$161.05
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$152.77	$76.34
88342 Special stained specimen slides to examine tissue, initial procedure	23	23	$133.48	$66.84
88312 Special stained specimen slides to identify organisms including interpretation and report	23	13	$150.54	$75.22
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	17	15	$864.30	$431.34
69100 Biopsy of ear	16	15	$196.53	$76.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$90.90	$45.41
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$495.85	$124.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,517	227	$11.55	$5.56
99213 Established patient office or other outpatient visit, typically 15 minutes	517	285	$148.86	$72.85
17000 Destruction of skin growth	424	272	$133.64	$46.80
88305 Pathology examination of tissue using a microscope, intermediate complexity	418	217	$58.62	$28.92
11102 Tangential biopsy of single skin lesion	281	226	$199.32	$88.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	136	$218.13	$106.46
11103 Biopsy of related skin growth, each additional growth	130	88	$107.47	$51.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$219.00	$107.83
17110 Destruction of up to 14 skin growths	67	56	$219.84	$105.22
17004 Destruction of precancer skin growth, 15 or more growths	45	41	$306.04	$144.77
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$153.18	$75.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	30	$89.98	$44.28
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	31	26	$363.55	$143.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	25	15	$3.33	$1.60
88312 Special stained specimen slides to identify organisms including interpretation and report	22	14	$141.64	$69.69
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	22	20	$798.15	$392.69
11900 Injection into skin growth, 1-7 growths	21	14	$113.26	$43.62
96574 Application of light with debridement to destroy precancer skin growth	20	19	$502.44	$247.20
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	16	16	$872.36	$408.58
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	12	$808.90	$331.81
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$502.24	$123.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	3,800	17	$4.63	$1.41
17003 Destruction of precancer skin growth, 2-14 growths	1,768	296	$11.24	$5.28
99213 Established patient office or other outpatient visit, typically 15 minutes	705	442	$146.51	$72.06
17000 Destruction of skin growth	474	348	$134.87	$50.79
11100 Biopsy of single growth of skin and/or tissue	366	309	$211.54	$96.73
11101 Biopsy of each additional growth of skin and/or tissue	200	123	$66.70	$32.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	128	128	$217.59	$107.04
17004 Destruction of precancer skin growth, 15 or more growths	98	82	$295.94	$140.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	84	$214.96	$106.07
99202 New patient office or other outpatient visit, typically 20 minutes	73	73	$150.14	$74.24
17110 Destruction of up to 14 skin growths	61	48	$223.26	$106.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	58	25	$5.75	$1.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	49	$87.77	$43.27
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	35	35	$863.11	$419.45
88305 Pathology examination of tissue using a microscope, intermediate complexity	32	17	$57.86	$28.47
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	30	$502.55	$120.41
11900 Injection into skin growth, 1-7 growths	29	22	$113.74	$49.23
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	28	26	$354.71	$165.54
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	26	24	$800.42	$373.89
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	17	$577.59	$142.32
96574 Application of light with debridement to destroy precancer skin growth	14	13	$478.71	$235.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	674	121	$14.00	$5.56
99213 Established patient office or other outpatient visit, typically 15 minutes	181	146	$146.00	$70.72
17000 Destruction of skin growth	177	153	$166.00	$47.51
11100 Biopsy of single growth of skin and/or tissue	134	125	$212.00	$95.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$218.00	$106.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	50	$214.00	$104.43
11101 Biopsy of each additional growth of skin and/or tissue	48	39	$66.00	$32.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	38	14	$10.00	$1.70
17110 Destruction of up to 14 skin growths	28	22	$226.00	$106.38
17004 Destruction of precancer skin growth, 15 or more growths	28	26	$349.00	$148.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$88.00	$42.81
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$149.00	$73.76
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	17	16	$359.00	$167.99

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License FL OS14644

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License MI 5101021452

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License FL OS14644

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Hospital & Practice Group Affiliations

Bay Dermatology And Cosmetic Surgery P A

115 Highland Ne Ave, Largo, FL 337702530

Phone: 7275858591

Secondary Practice Locations

2653 Bruce B Downs Blvd Ste 120a

Wesley Chapel, FL 335449206

Phone: 8135140823

115 Highland Ave N

Largo, FL 33770

Phone: 7275858591

34941 Us 19 N

Palm Harbor, FL 346841919

Phone: 7277817080

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Richard Bindernagel , DO

Dermatology

NPI 1023646924

Doctor of Osteopathic Medicine (D.O.)

Kathryn Bernhardt , PA-C

Physician Assistant

NPI 1295233799

Physician Assistant (Certified)

Michelle Schoen , APRN

Nurse Practitioner

NPI 1881325041

Advanced Practice Registered Nurse

Dr. Christopher White , DO

Dermatology

NPI 1962935742

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

📍

Updated Practice Location November 20, 2018

Registered at 115 HIGHLAND AVE N, LARGO, FL 33770 (Tel: 7275858591)

📍

Updated Business Mailing Address November 20, 2018

Registered at 115 HIGHLAND AVE N, LARGO, FL 337702530 (Tel: 7278588591)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2018

Dermatology (License #5101021452 in MI)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Dermatology (License #OS14644 in FL)

✅

NPI Profile Active May 17, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 17, 2017

Registered at 5200 SEMINOLE BLVD, ST PETERSBURG, FL 337083378 (Tel: 7273923376)

📍

Updated Business Mailing Address May 17, 2017

Registered at 4200 N ARMENIA AVE STE 1-2, TAMPA, FL 336076438 (Tel: (813) 922-3703)

👤

Provider Name / Credentials Updated May 17, 2017

Recorded as SUMMER MOON, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2017

Dermatology (License #OS14644 in FL)

✅

NPI Profile Active July 31, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 31, 2014

Registered at 50 N PERRY ST, PONTIAC, MI 483422217 (Tel: 2483385000)

📍

Updated Business Mailing Address July 31, 2014

Registered at 50 N PERRY ST, PONTIAC, MI 483422217 (Tel: 2483385000)

👤

Provider Name / Credentials Updated July 31, 2014

Recorded as SUMMER MOON, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2014

Dermatology (License #5101021452 in MI)

🟢

Initial NPI Registration & Enumeration June 12, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457765968

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 12, 2014

Last Update: November 20, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

115 Highland Ave N

Largo, FL 337702530

Phone: 7278588591

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.