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 this city , 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