npidexNPI registry + Medicare data

SUMMER MOON, DO

Dermatology Physician · LARGO, FL

Individual Active NPI 1457765968

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20247727,698$1,036,845$477,507$355,666
20237877,815$1,101,080$513,474$378,106
20227497,298$955,860$446,871$323,957

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
17003Destruction of precancer skin growth, 2-14 growths2,991$6$5
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more868$88$65
17000Destruction of precancer skin growth, 1 growth817$45$34
11102Biopsy of related skin growth, first growth498$82$62
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more452$124$78
11103Biopsy of related skin growth, each additional growth334$48$38
17110Destruction of skin growth, 1-14 growths293$105$77
96900Application of ultraviolet light to skin155$23$18
G6001Ultrasonic guidance for placement of radiation therapy fields144$168$134
77280Obtaining data needed to develop the optimal radiation treatment, 1 treatment area134$251$197
77401Superficial and/or low voltage radiation treatment delivery132$39$31
17004Destruction of precancer skin growth, 15 or more growths108$160$119

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Dermatology Physician207N00000X✓OS14644FL
Dermatology Physician207N00000X5101021452MI
Procedural Dermatology Physician207NS0135XOS14644FL

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.