Doctor profile · Federal record

Dr. Fredric Moon, DO

Obstetrics & Gynecology Physician (CMS: Obstetrics/Gynecology) · Mineola, NY

  • NPI 1104819242
  • Accepts Medicare
  • 32 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
120 Mineola Blvd, Suite 100
Mineola, NY 115014073
(516) 663-3010
fax (516) 663-3026

Credentials & registration

NPPES · NUCC
NPI registered
August 2005 — 21 yrs on file
Profile last updated
February 9, 2010
Year of graduation
1994 — 32 yrs since
Specialty taxonomy
207V00000X — NUCC code
State license (1)
New York #216307
Medicaid
NY #02382350

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1104819242. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
13
Distinct HCPCS
1
Medicare allowed
$629
HCPCS Description Services Patients Avg allowed
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 13 13 $48

In context: peer comparison

Among 11 peers in Mineola Obstetrics & Gynecology Physician, average services per provider: 126. This provider delivers 0.1× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$31
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Exact Sciences Corporation 1 $30.74

By nature of payment

Food and Beverage
$31

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
40
Patients
0
Total drug cost
$21,862
Drug Type Claims Patients Total cost
Clotrimazole-Betamethasone (Clotrimazole/Betamethasone Dip) Brand 14 0 $268
Fluconazole Generic 14 0 $63
Lupron Depot (Leuprolide Acetate) Brand 12 0 $21,531

Frequently asked questions

Auto-generated from federal data
What is Dr. Fredric Moon's medical specialty?
Dr. Fredric Moon practices Obstetrics & Gynecology Physician in Mineola, NY.
Where does Dr. Fredric Moon practice?
Dr. Fredric Moon practices at 120 Mineola Blvd, Mineola, NY 115014073. Office phone: 5166633010.
What is Dr. Fredric Moon's NPI?
Dr. Fredric Moon's National Provider Identifier (NPI) is 1104819242, issued by NPPES.
Does Dr. Fredric Moon accept Medicare assignment?
Yes. Dr. Fredric Moon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Fredric Moon commonly perform?
Top Medicare-reported procedures in 2023: Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS G0101). Source: CMS Medicare Physician & Other Practitioners file.