Active NPI 1689690398 Individual Practitioner Male Practitioner

Dr. Paul Oh Sung Moon , MD

Surgery • The Dalles, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Moon, MD is a certified Surgery practicing in The Dalles, OR. With approximately 39 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 1987, Dr. Moon delivers high-quality medical care to the local community at 1810 E 19TH ST STE 225.

Dr. Moon is affiliated with Mid-Columbia Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1810 E 19th St Ste 225

The Dalles, OR 970583388

Telephone 5412966101

Fax 5412960025

Associated Practice Facility / Clinic

🏢 Mid-Columbia Surgical Specialists Facility NPI 1578635660

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in The Dalles, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +11.5 yrs vs City Avg

City Avg: 27.5 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

3 Specialists

Practicing in The Dalles, OR (555 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moon (39 Years) 39 Yrs

The Dalles Specialty Average (27.5 Years) 27.5 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$299.00	$109.17
99213 Established patient office or other outpatient visit, typically 15 minutes	100	90	$243.00	$88.31
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	91	91	$1442.00	$243.53
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	55	55	$1196.00	$74.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	43	$152.00	$55.82
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	26	26	$1082.00	$177.72
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$194.00	$71.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	19	$458.00	$168.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$447.00	$164.78
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	16	16	$1313.00	$117.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$343.00	$127.01
45380 Biopsy of large bowel using an endoscope	14	14	$1377.00	$167.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	113	113	$141.00	$5.02
99213 Established patient office or other outpatient visit, typically 15 minutes	86	80	$226.00	$87.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$280.00	$108.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	46	$142.00	$55.02
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	48	48	$1361.00	$239.55
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	40	$1134.00	$89.47
45380 Biopsy of large bowel using an endoscope	25	25	$1304.00	$113.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$415.00	$161.75
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	24	24	$1019.00	$175.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$319.00	$120.59
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$181.00	$70.42
93922 Ultrasound study of arm and leg arteries	11	11	$246.00	$80.03
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$1020.00	$175.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$324.00	$126.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	161	157	$167.00	$5.14
99213 Established patient office or other outpatient visit, typically 15 minutes	133	118	$224.00	$87.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$277.00	$107.01
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	60	59	$1383.00	$242.05
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	46	46	$1163.00	$76.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$412.00	$155.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$315.00	$116.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	32	$140.00	$54.57
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	29	29	$1032.00	$176.98
45378 Diagnostic exam of large bowel using a flexible endoscope	24	24	$1032.00	$166.18
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$1033.00	$177.37
45380 Biopsy of large bowel using an endoscope	16	16	$1330.00	$126.07
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	13	12	$1271.00	$134.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$329.00	$129.93
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$909.00	$97.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	156	155	$173.00	$5.24
99213 Established patient office or other outpatient visit, typically 15 minutes	121	110	$227.55	$88.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$279.00	$107.46
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	61	61	$1386.00	$243.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	42	$141.24	$54.92
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	45	45	$1169.00	$80.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$320.17	$126.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$420.00	$155.75
45378 Diagnostic exam of large bowel using a flexible endoscope	28	28	$1034.00	$177.13
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$1035.00	$177.77
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$181.62	$71.02
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$906.00	$78.13
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$1034.00	$180.94
45380 Biopsy of large bowel using an endoscope	12	12	$1284.17	$150.69
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	12	12	$1260.00	$143.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$492.00	$194.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	146	143	$166.00	$5.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	65	$104.00	$44.79
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	70	69	$1213.00	$255.52
99213 Established patient office or other outpatient visit, typically 15 minutes	67	61	$173.00	$74.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	63	$255.00	$107.45
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	53	52	$978.00	$84.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$256.00	$105.86
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$178.00	$74.97
99201 New patient office or other outpatient visit, typically 10 minutes	24	24	$106.00	$44.15
11102 Tangential biopsy of single skin lesion	23	22	$280.00	$89.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$391.00	$162.44
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$902.00	$187.65
45380 Biopsy of large bowel using an endoscope	17	17	$1155.00	$125.35
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$901.00	$187.40
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	14	13	$344.00	$120.14
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$53.00	$18.68
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$3083.00	$332.22
76642 Limited ultrasound scan of 1 breast	12	11	$251.00	$86.91
49650 Repair of groin hernia using an endoscope	11	11	$1407.95	$486.52
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	11	11	$998.00	$141.14
93923 Complete ultrasound study of arm and leg arteries	11	11	$60.14	$22.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	163	161	$166.00	$5.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	111	$255.00	$103.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$256.00	$104.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	70	$104.00	$43.92
99213 Established patient office or other outpatient visit, typically 15 minutes	94	78	$173.00	$71.90
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	87	87	$1213.00	$253.58
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	86	85	$978.00	$84.67
99202 New patient office or other outpatient visit, typically 20 minutes	50	50	$178.00	$74.47
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	26	25	$998.00	$130.61
45380 Biopsy of large bowel using an endoscope	25	25	$1155.00	$127.72
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$902.00	$180.42
99221 Initial hospital inpatient care per day, typically 30 minutes	16	15	$251.00	$99.08
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$2918.57	$305.15
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$902.00	$161.67
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	14	12	$344.00	$117.62
99201 New patient office or other outpatient visit, typically 10 minutes	14	14	$106.00	$44.48
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$53.00	$18.42
49650 Repair of groin hernia using an endoscope	13	13	$1715.54	$562.06
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$901.00	$185.30
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$731.00	$75.93
45381 Injection beneath lining of large bowel using a flexible endoscope	12	12	$1105.00	$16.07
47562 Removal of gallbladder using an endoscope	11	11	$1938.62	$650.16
93970 Ultrasound study of arm or leg veins with compression and maneuvers	11	11	$561.00	$189.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	170	156	$136.42	$5.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	73	$94.67	$42.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	101	$232.30	$105.39
99213 Established patient office or other outpatient visit, typically 15 minutes	104	80	$155.45	$71.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$229.43	$103.44
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	73	71	$1079.08	$257.79
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	67	66	$871.46	$80.00
45378 Diagnostic exam of large bowel using a flexible endoscope	36	36	$806.75	$168.76
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	35	19	$890.89	$158.65
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$161.57	$70.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$365.14	$161.05
99201 New patient office or other outpatient visit, typically 10 minutes	22	22	$95.95	$43.49
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	21	15	$274.71	$118.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$326.32	$142.17
93922 Ultrasound study of arm and leg arteries	18	18	$224.17	$85.06
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$880.56	$168.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$414.64	$199.37
45380 Biopsy of large bowel using an endoscope	13	13	$1079.23	$160.31
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1592.64	$320.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	150	150	$119.00	$5.42
99213 Established patient office or other outpatient visit, typically 15 minutes	121	93	$148.00	$71.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	84	$220.00	$103.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$222.00	$103.26
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	74	73	$812.00	$77.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	53	$89.00	$41.96
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	63	62	$1005.00	$251.24
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$153.00	$72.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$341.00	$156.83
45378 Diagnostic exam of large bowel using a flexible endoscope	33	33	$775.00	$182.18
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	25	25	$835.00	$124.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	12	$215.00	$101.98
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	20	12	$247.00	$107.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$417.00	$189.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$424.00	$200.56
93922 Ultrasound study of arm and leg arteries	16	16	$182.00	$81.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$296.00	$140.61
45398 Tying of large bowel using an endoscope	13	13	$1497.00	$150.28
93970 Ultrasound study of arm or leg veins with compression and maneuvers	13	12	$404.00	$191.01
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$853.00	$185.14
47562 Removal of gallbladder using an endoscope	12	12	$1394.87	$643.10
45380 Biopsy of large bowel using an endoscope	11	11	$958.00	$151.34
93880 Ultrasound of both sides of head and neck blood flow	11	11	$415.00	$184.50

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OR MD18425

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

056940 (OR)

Medicaid State Provider ID

8149056 (WA)

Hospital & Practice Group Affiliations

Mid-Columbia Medical Center

1810 E 19th St, The Dalles, OR 970583388

Phone: 5412966101

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Frederick Field , MD

Anesthesiology

NPI 1306826318

Doctor of Medicine (M.D.)

Dr. Caitlin Mccarthy , MD

Surgery

NPI 1609187681

Doctor of Medicine (M.D.)

Dr. Marti Mitchell , DO

Anesthesiology

NPI 1619137858

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 29, 2016

Registered at 1810 E 19TH ST STE 225, THE DALLES, OR 970583388 (Tel: 5412966101)

📍

Updated Business Mailing Address March 29, 2016

Registered at 1810 E 19TH ST STE 225, THE DALLES, OR 970583388 (Tel: 5412966101)

👤

Provider Name / Credentials Updated March 29, 2016

Recorded as PAUL MOON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2016

Surgery (License #MD18425 in OR)

🟢

Initial NPI Registration & Enumeration July 14, 2006

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: 1689690398

Entity Type:

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

Enumeration Date: July 14, 2006

Last Update: March 29, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1810 E 19th St Ste 225

The Dalles, OR 970583388

Phone: 5412966101

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

⚠️ Medical Disclaimer

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