Active NPI 1043455306 Individual Practitioner Male Practitioner

Dr. Davis Sungwhan Moon , MD

Surgery - Vascular Surgery • Savannah, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Davis Moon, MD is a certified Surgery - Vascular Surgery practicing in Savannah, GA. With approximately 14 years of clinical experience since graduating from Mercer University School Of Medicine in 2012, Dr. Moon delivers high-quality medical care to the local community at 4750 WATERS AVE STE 500.

Dr. Moon maintains professional affiliations with Health Services Of Central Georgia, Savannah Vascular Institute, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml, established patient outpatient office visit, use of a drug to induce depression of consciousness by physician performing a procedure. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4750 Waters Ave Ste 500

Savannah, GA 314046261

Telephone 9123528346

Fax 9123555515

Associated Practice Facility / Clinic

🏢 Hilton Head Regional Physician Group Llc Facility NPI 1386506004

Medicare Profile & Education

Medical School

Mercer University School Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Savannah, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -12.7 yrs vs City Avg

City Avg: 26.7 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

10 Specialists

Practicing in Savannah, GA (194 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moon (14 Years) 14 Yrs

Savannah Specialty Average (26.7 Years) 26.7 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
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	3,531	33	$2.00	$0.37
99213 Established patient office or other outpatient visit, typically 15 minutes	167	131	$173.00	$84.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	79	$256.00	$119.61
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	86	21	$25.00	$10.28
J2250 Injection, midazolam hydrochloride, per 1 mg	64	27	$2.00	$0.14
J3010 Injection, fentanyl citrate, 0.1 mg	56	27	$2.00	$0.89
93926 Ultrasound of one leg arteries or artery grafts	55	37	$384.00	$113.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$256.00	$104.21
93880 Ultrasound of both sides of head and neck blood flow	44	40	$507.00	$166.99
76937 Ultrasonic guidance for blood vessel access	40	34	$80.00	$34.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$396.00	$156.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	32	$336.00	$123.41
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	32	26	$120.00	$44.75
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	31	27	$371.00	$103.82
93922 Ultrasound study of arm and leg arteries	28	27	$320.00	$62.85
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	21	18	$1134.38	$135.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	16	$81.00	$46.95
93925 Ultrasound of leg arteries or artery grafts	19	18	$654.00	$209.61
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	15	13	$836.00	$234.84
93970 Ultrasound study of arm or leg veins with compression and maneuvers	15	15	$560.00	$165.48
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	14	14	$72.43	$11.58
36589 Removal of central venous catheter for infusion	13	12	$417.00	$153.39
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	12	11	$527.00	$152.31
75625 Radiological supervision and interpretation X-ray of abdominal aorta	12	11	$1258.00	$112.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	2,527	21	$2.00	$0.40
99213 Established patient office or other outpatient visit, typically 15 minutes	211	145	$173.00	$84.27
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	107	29	$25.00	$9.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	62	$256.00	$118.80
93926 Ultrasound of one leg arteries or artery grafts	62	37	$384.00	$112.96
93880 Ultrasound of both sides of head and neck blood flow	59	57	$507.00	$168.28
J2250 Injection, midazolam hydrochloride, per 1 mg	56	43	$2.00	$0.16
J3010 Injection, fentanyl citrate, 0.1 mg	54	43	$2.00	$0.88
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	52	43	$120.00	$45.23
76937 Ultrasonic guidance for blood vessel access	47	39	$80.00	$36.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$256.00	$102.30
J0690 Injection, cefazolin sodium, 500 mg	37	11	$7.86	$0.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	35	$335.97	$124.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	21	$82.65	$47.60
93922 Ultrasound study of arm and leg arteries	26	24	$320.00	$65.88
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	25	22	$371.00	$107.40
93970 Ultrasound study of arm or leg veins with compression and maneuvers	25	24	$560.00	$168.31
93925 Ultrasound of leg arteries or artery grafts	19	18	$654.00	$215.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$396.00	$156.50
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	17	14	$89.06	$12.04
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	16	13	$836.00	$240.02
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	16	14	$527.00	$160.99
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	15	12	$1178.00	$140.21
76937 Ultrasonic guidance for blood vessel access	15	15	$62.87	$13.18
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$185.00	$90.45
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	13	12	$2645.38	$1047.62
36589 Removal of central venous catheter for infusion	13	11	$417.00	$137.46
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2852.00	$898.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	204	131	$173.00	$85.58
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	66	18	$25.00	$9.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$256.00	$105.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	48	$256.00	$119.42
93926 Ultrasound of one leg arteries or artery grafts	47	33	$384.00	$118.96
93880 Ultrasound of both sides of head and neck blood flow	46	43	$507.00	$173.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	20	$81.00	$36.97
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	37	31	$371.00	$109.83
J2250 Injection, midazolam hydrochloride, per 1 mg	35	25	$2.00	$0.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$336.00	$128.70
93922 Ultrasound study of arm and leg arteries	31	28	$320.00	$65.76
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	28	26	$120.00	$46.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$396.00	$158.72
76937 Ultrasonic guidance for blood vessel access	20	17	$37.00	$13.31
J3010 Injection, fentanyl citrate, 0.1 mg	20	17	$2.00	$0.81
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	19	16	$527.00	$164.22
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	18	14	$31.00	$12.17
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	16	15	$1178.00	$143.53
76937 Ultrasonic guidance for blood vessel access	15	12	$80.00	$36.39
93970 Ultrasound study of arm or leg veins with compression and maneuvers	15	15	$560.00	$173.42
93925 Ultrasound of leg arteries or artery grafts	14	13	$654.00	$222.81
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	14	14	$364.00	$105.54
75625 Radiological supervision and interpretation X-ray of abdominal aorta	12	11	$1258.00	$121.34
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	12	11	$2820.00	$1145.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	163	110	$173.00	$86.49
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	63	22	$25.00	$9.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	48	$336.00	$130.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	45	$256.00	$123.49
93922 Ultrasound study of arm and leg arteries	45	37	$320.00	$74.08
93926 Ultrasound of one leg arteries or artery grafts	44	31	$384.00	$114.55
93880 Ultrasound of both sides of head and neck blood flow	40	33	$507.00	$181.79
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	33	30	$120.00	$47.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	20	$81.00	$36.98
J2250 Injection, midazolam hydrochloride, per 1 mg	31	27	$2.00	$0.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$256.00	$106.82
J3010 Injection, fentanyl citrate, 0.1 mg	25	21	$2.00	$0.67
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	22	18	$371.00	$112.56
76937 Ultrasonic guidance for blood vessel access	20	19	$37.95	$13.55
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	19	15	$1178.00	$149.81
76937 Ultrasonic guidance for blood vessel access	18	15	$80.00	$35.61
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	16	14	$31.00	$12.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$396.00	$160.47
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	14	14	$2820.00	$1214.74
93970 Ultrasound study of arm or leg veins with compression and maneuvers	13	13	$560.00	$178.89
37228 Balloon dilation of artery of leg, initial vessel	11	11	$13308.00	$3397.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	65	$173.00	$70.74
93922 Ultrasound study of arm and leg arteries	55	43	$320.00	$75.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	46	$103.00	$43.04
93880 Ultrasound of both sides of head and neck blood flow	45	40	$507.00	$183.86
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	43	18	$25.00	$9.61
93990 Ultrasound of dialysis access	38	32	$427.00	$124.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	37	$336.00	$135.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	19	$81.00	$38.60
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	28	23	$120.00	$46.68
J2250 Injection, midazolam hydrochloride, per 1 mg	24	19	$2.00	$0.11
36830 Connection of tube graft to vein and artery for dialysis	24	24	$2842.00	$678.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$256.00	$100.54
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	24	23	$371.00	$111.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$256.00	$104.50
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$176.00	$72.15
76937 Ultrasonic guidance for blood vessel access	19	18	$39.00	$14.35
36589 Removal of central venous catheter for infusion	17	16	$417.00	$153.77
93926 Ultrasound of one leg arteries or artery grafts	17	15	$384.00	$123.82
28810 Amputation of foot	16	11	$1258.00	$335.67
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	15	14	$527.00	$173.92
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$239.54	$100.78
93970 Ultrasound study of arm or leg veins with compression and maneuvers	13	13	$560.00	$178.70
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	12	11	$364.00	$108.23
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	11	11	$262.00	$85.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2250 Injection, midazolam hydrochloride, per 1 mg	19	11	$2.00	$0.12

Medical Specialties & State Licenses

CMS Verified: 2022-09-13

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License GA 74207

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License SC 84913

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

003223457H (GA)

Medicaid State Provider ID

003223457A (GA)

Hospital & Practice Group Affiliations

Savannah Vascular Institute, Llc

7208 Hodgson Memorial Dr, Savannah, GA 314062512

Phone: 9126297800

Health Services Of Central Georgia

1120 Morningside Dr, Perry, GA 310692906

Phone: 4789873600

Savannah Vascular Institute, Llc

2301 Parkwood Dr, Brunswick, GA 315204720

Phone: 9126297800

Savannah Vascular Institute, Llc

111 Persimmon St, Bluffton, SC 299104779

Phone: 9126297800

Health Services Of Central Georgia

777 Hemlock St, Macon, GA 312012102

Phone: 4786331000

Secondary Practice Locations

613 Towne Park Dr W Ste 204

Rincon, GA 313265183

Phone: 9128266771

3 Richland Medical Park Dr

Columbia, SC 292036849

Phone: 8034347100

Practice Associates & Co-Workers

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

9 Associated Practitioners

Deanna Wildes , RN, BSN

Nurse Practitioner

NPI 1003199480

Registered Nurse, Bachelor of Science in Nursing

Dr. Kirstin Nelson , MD

Radiology - Diagnostic Radiology

NPI 1104858307

Doctor of Medicine (M.D.)

Dr. William Darden , MD

Surgery

NPI 1144259755

Doctor of Medicine (M.D.)

Dr. Larry Horesh , MD

Radiology - Vascular & Interventional Radiology

NPI 1154398709

Doctor of Medicine (M.D.)

Dr. Anthony Sussman , MD

Surgery - Vascular Surgery

NPI 1306873518

Doctor of Medicine (M.D.)

Dr. Joseph Mondy , MD

Surgery - Vascular Surgery

NPI 1467492504

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2022

Surgery (License #84913 in SC)

📍

Updated Practice Location September 13, 2019

Registered at 4750 WATERS AVE STE 500, SAVANNAH, GA 314046261 (Tel: 9123528346)

📍

Updated Business Mailing Address June 21, 2019

Registered at 4750 WATERS AVE STE 500, SAVANNAH, GA 314046261 (Tel: 9123528346)

👤

Provider Name / Credentials Updated June 21, 2019

Recorded as DAVIS MOON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2019

Surgery (License #74207 in GA)

📍

Updated Practice Location June 06, 2019

Registered at 4750 WATERS AVE STE GENERAL, SAVANNAH, GA 314046200 (Tel: 7062248863)

✅

NPI Profile Active June 01, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 01, 2012

Registered at 4700 WATERS AVENUE, MEDICAL CENTER, GENERAL SURGERY RESIDENCY PROGRAM, MEMORIAL UNIVERSITY, SAVANNAH, GA 31404 (Tel: 7062248863)

📍

Updated Business Mailing Address June 01, 2012

Registered at 4700 WATERS AVENUE, MEDICAL CENTER, GENERAL SURGERY RESIDENCY PROGRAM, MEMORIAL UNIVERSITY, SAVANNAH, GA 31404 (Tel: 7062248863)

👤

Provider Name / Credentials Updated June 01, 2012

Recorded as DAVIS MOON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2012

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration December 15, 2008

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: 1043455306

Entity Type:

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

Enumeration Date: December 15, 2008

Last Update: September 13, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4750 Waters Ave Ste 500

Savannah, GA 314046261

Phone: 9123528346

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

⚠️ Medical Disclaimer

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.