MOON O KWOUN M.D.
NPI 1205883956
Surgery - Vascular Surgery in Cambridge, MA


Quality Rating: 91.06 out of 100 score

NPI Status: Active since May 28, 2006

Contact Information

1493 CAMBRIDGE ST
CAMBRIDGE, MA
ZIP 02139
Phone: (617) 665-2555

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  • Individual
  • Male
  • Years of Experience 34
  • Surgery
  • Vascular Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MOON KWOUN

This page provides the complete NPI Profile along with additional information for Moon Kwoun, a provider established in Cambridge, Massachusetts with a medical specialization in Surgery, focusing in vascular surgery and more than 34 years of experience. He graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1992. The healthcare provider is registered in the NPI registry with number 1205883956 assigned on May 2006. The practitioner's primary taxonomy code is 2086S0129X with license number 156583 (MA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1205883956
Provider Name
MOON O KWOUN M.D.
Gender
Male
Entity Type
Individual
Location Address
1493 CAMBRIDGE ST CAMBRIDGE, MA 02139
Location Phone
(617) 665-2555
Mailing Address
51 COMMON ST BELMONT, MA 02478
Mailing Phone
(617) 665-2555
Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year
1992
Is Sole Proprietor?
No
Enumeration Date
05-28-2006
Last Update Date
08-18-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
License No.
156583
License State
MA
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Moon Kwoun is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Moon Kwoun is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2769403567

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20051208000249

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complete ultrasound study of arm and leg arteries

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

This service was performed 13 times for 12 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 100 times for 47 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 14 times for 12 patients

Leg revascularization (restoring blood flow)

Leg revascularization is a procedure aimed at restoring proper blood flow to your legs. It's often needed when blood vessels in your legs are blocked or narrowed. The process may involve surgery or less invasive methods to remove or bypass blockages, helping to alleviate pain and prevent serious complications.

This service was performed for 13 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 24 times for 24 patients

Ultrasonic guidance for blood vessel access

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

This service was performed 24 times for 17 patients

Ultrasound of both sides of head and neck blood flow

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

This service was performed 26 times for 26 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $24.41 for a new patient copayment and $19.71 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02139 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $97.64
  • Minimum New Patient Price $63.72
  • Maximum New Patient Price $189.86
  • Average New Patient Copayment $24.41
  • Minimum New Patient Copayment $15.93
  • Maximum New Patient Copayment $47.46

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $78.84
  • Minimum Established Patient Price $21.07
  • Maximum Established Patient Price $155.29
  • Average Established Patient Copayment $19.71
  • Minimum Established Patient Copayment $5.26
  • Maximum Established Patient Copayment $38.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 91.06, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 91.06 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 74.66

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Moon Kwoun is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
CAMBRIDGE HEALTH ALLIANCE1493 CAMBRIDGE STREET
CAMBRIDGE, MA 02138
(617) 665-2300Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205883956
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22051686910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 6 + 8 + 6 + 9 + 1 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1205883956 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083616767DR. LOUISE GLASSNER COHEN PHARM.D., BCPP
Individual
Pharmacist (Psychiatric)1493 CAMBRIDGE ST CAMBRIDGE HEALTH ALLIANCE-MYSTIC CENTER
CAMBRIDGE, MA 02139
(781) 306-8639
1265427074 JANET BAER MD
Individual
Radiology (Diagnostic Radiology)1493 CAMBRIDGE ST RADIOLOGY DEPARTMENT
CAMBRIDGE, MA 02139
(617) 665-1240
1104815190 CHARLES D TAYLOR MD
Individual
Internal Medicine (Hematology & Oncology)1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
(617) 665-1552
1902896715DR. SHOBHANA A DALAL MD
Individual
Anesthesiology1493 CAMBRIDGE ST CHA - ANESTHESIOLOGY
CAMBRIDGE, MA 02139
(617) 665-1630
1669462818DR. LENA EBBA DOHLMAN MD
Individual
Anesthesiology1493 CAMBRIDGE ST CHA - ANESTHESIOLOGY
CAMBRIDGE, MA 02139
(617) 499-6634
1518957687DR. DEBORAH ELLEN GLOTZER MD
Individual
Pediatrics1493 CAMBRIDGE ST CAMBRIDGE HEALTH ALLIANCE
CAMBRIDGE, MA 02139
(617) 665-1264
1134110414DR. STEPHEN LEWIS CAMPO MD
Individual
Anesthesiology1493 CAMBRIDGE ST ANESTHESIOLOGY
CAMBRIDGE, MA 02139
(617) 665-1630
1669453023DR. ELIZABETH ZULINSKA MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1493 CAMBRIDGE ST CHA -PATHOLOGY
CAMBRIDGE, MA 02139
(617) 665-1220
1760463178DR. KATHARINE KOSINSKI MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
(617) 665-1220
1326021510 MAGALY A NOEL M.D.
Individual
Physical Medicine & Rehabilitation1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
(617) 665-1566
1558345470DR. JEANETTE A CALLAHAN MD
Individual
Pediatrics1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
(617) 665-1264
1073597910MR. DAVID FRANK PINCUS M.D., PH.D.
Individual
Anesthesiology1493 CAMBRIDGE ST CAMBRIDGE HOSPITAL
CAMBRIDGE, MA 02139
(617) 665-1630
1609856517DR. EVA D PATALAS M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
(617) 665-1220
1609847631DR. JOSEPH ALEXANDER JACKSON IV D.O.
Individual
Psychiatry & Neurology (Psychiatry)1493 CAMBRIDGE ST STATION LANDING/CCAD
CAMBRIDGE, MA 02139
(781) 306-8655
1750353090DR. THOMAS HARTER GLICK MD
Individual
Psychiatry & Neurology (Neurology)1493 CAMBRIDGE ST CAMBRIDGE HOSPITAL
CAMBRIDGE, MA 02139
(617) 665-1017
1518939503 MIRIAM T ASCHKENASY M.D.
Individual
Emergency Medicine1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
(617) 665-1616
1316910094DR. SANJAY GULATI MD
Individual
Psychiatry & Neurology (Psychiatry)1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
(617) 498-1000
1851367395DR. MICHAEL BRUCE LESLIE M.D.
Individual
Psychiatry & Neurology (Psychiatry)1493 CAMBRIDGE ST DEPT OF PSYCHIATRY, CAMBRIDGE HEALTH ALLIANCE
CAMBRIDGE, MA 02139
(617) 575-5253
1194794768DR. ROBERT BRUCE GILMAN M.D.
Individual
Psychiatry & Neurology (Psychiatry)1493 CAMBRIDGE ST CAHILL 4/CAMBRIDGE HOSPITAL
CAMBRIDGE, MA 02139
(617) 665-1410
1376503318DR. DAVID WILLIAM BARON MD
Individual
Internal Medicine1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
(617) 665-1068

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205883956, enumerated in the NPI registry as an "individual" on May 28, 2006

The provider is located at 1493 Cambridge St Cambridge, Ma 02139 and the phone number is (617) 665-2555

The provider's speciality is Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery

The provider has more than 34 years of experience. He graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1992.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $97.64 with an average copayment of $24.41 for new patient appointments. Established patients should expect a typical charge of $78.84 and an average copayment of 19.71. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Complete ultrasound study of arm and leg arteries, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Leg revascularization (restoring blood flow), New patient office or other outpatient visit, 30-44 minutes, Ultrasonic guidance for blood vessel access and Ultrasound of both sides of head and neck blood flow.

The practitioner is affiliated to the following hospital(s): CAMBRIDGE HEALTH ALLIANCE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.