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Active NPI 1538141742 Individual Practitioner Male Practitioner

Dr. Jon T Moen , MD

Surgery • Fond Du Lac, WI

Professional Overview & Biography Verified Profile Summary

Dr. Jon Moen, MD is a registered healthcare professional specializing in Surgery in Fond Du Lac, WI. Practice services are available at 421 CAMELOT DR under active NPI credentials.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

421 Camelot Dr

Fond Du Lac, WI 549358335

Telephone 9209265760
Associated Practice Facility / Clinic
🏢 Agnesian Healthcare Inc Facility NPI 1083676217

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fond Du Lac, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.7 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Fond Du Lac, WI (765 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less
75 31 $1011.00 $59.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
67 25 $152.00 $24.19
99213 Established patient office or other outpatient visit, typically 15 minutes
49 23 $212.00 $49.17

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 27281

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
020028611 (WI)
Commercial Insurance / Payer ID Railroad Medicare
020028611 (WI)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1083711071

Doctor of Osteopathic Medicine (D.O.)

Daria Sonnenfeld , LAT

Specialist/Technologist - Athletic Trainer

NPI 1093755225

Licensed Athletic Trainer

Dr. Alan Roetker , MD

Orthopaedic Surgery

NPI 1124119110

Doctor of Medicine (M.D.)

Patricia Walker , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1124291539
NPI 1134110539

MSCCCA

Katherine Krantz , PT

Physical Therapist

NPI 1134447659

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2016

Registered at 421 CAMELOT DR, FOND DU LAC, WI 549358335 (Tel: 9209265760)

📍
Updated Business Mailing Address March 02, 2016

Registered at 420 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209268340)

👤
Provider Name / Credentials Updated March 02, 2016

Recorded as JON MOEN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2016

Surgery (License #27281 in WI)

🟢
Initial NPI Registration & Enumeration November 15, 2005

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: 1538141742
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2005
Last Update: March 02, 2016
Sole Proprietor: No

Mailing Address

420 E Division St

Fond Du Lac, WI 549354560

Phone: 9209268340

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.