Active NPI
Scott D.M. Moon, M.D.
- Radiation Oncology Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 7901
- Practice address
- 1301 Punchbowl St
The Queen'S Medical Center Dept of Rad Onc
Honolulu, HI 96813-2402 - Phone
- (808) 691-4771
- Fax
- (808) 691-4507
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD93402 | SC | |
| Radiation Oncology Physician | 2085R0001X | 7901 | HI | Primary |
Addresses
Primary practice location
1301 Punchbowl St
The Queen'S Medical Center Dept of Rad Onc
Honolulu, HI 96813-2402
Mailing address
1301 Punchbowl St
The Queen'S Medical Center Dept of Rad Onc
Honolulu, HI 96813-2402
Phone (808) 691-4771
Other practice location 1
100 Buckwalter Place Blvd Ste 150
Bluffton, SC 29910-5023
Phone (912) 819-4100
Other practice location 2
25 Hospital Center Blvd Ste 101
Hilton Head, SC 29926-2735
Phone (912) 819-4100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F95536 | Other | HI | HMSA |
| 07351208 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, IA, SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040113000200 | HI | Practitioner - Radiation Oncology | 9234039405 | Reassigns benefits to 2 organizations |
| I20250830000018 | IA | Practitioner - Radiation Oncology | 9234039405 | Reassigns benefits to 2 organizations |
| I20251008003813 | SC | Practitioner - Radiation Oncology | 9234039405 | Reassigns benefits to 1 organization |
| I20260622003644 | GA | Practitioner - Radiation Oncology | 9234039405 |
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- SJC Oncology Services South Carolina LLCHilo Benioff Medical CenterThe Queens Medical Center
Practice addresses (Care Compare)
100 Buckwalter Place Blvd
Suite 150
Bluffton, SC 29910-5023
Phone (843) 836-7120
1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000
1301 Punchbowl St
Honolulu, HI 96813-2499
550 S Beretania St
Honolulu, HI 96813-2496
91 -2135 Fort Weaver Rd
Suite 180
Ewa Beach, HI 96706-1929
Phone (808) 691-3020
Hospital & facility affiliations
- The Queens Medical Center
- St Anthony Regional Hospital & Nursing Home
- Hilo Benioff Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.05 of 100
- Quality
- 89.81
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152 | MS | MD | Mental Health Counselor |
| 7901 | HI | MD | Radiation Oncology Physician |
| MD93402 | SC | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| St Anthony Regional Hospital and Nursing Home | Radiation Oncology | Current | Accepting new patients |
| St Anthony Regional Hospital and Nursing Home | Current | Accepting new patients | |
| SJC Oncology Services-South Carolina, LLC | Radiation Oncology | Current | Accepting new patients |
| The Queens Medical Center | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| The Queen'S Medical Center | Current | Accepting new patients | |
| St Anthony Regional Hospital and Nursing Home | Current | Accepting new patients | |
| Cancer Center of Hawaii, LLC | Past | Accepting new patients | |
| Hilo Benioff Medical Center | Past | Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Past | Accepting new patients | |
| Pacific Radiation Oncology LLC | Radiation Oncology | Past | Accepting new patients |
Locations
225 Candler Dr
Ste 100
Savannah, GA 31405
Phone (912) 352-1700
91-2135 Fort Weaver Rd
Ste B120
Ewa Beach, HI 96706
Phone (808) 254-6115
1285 Waianuenue Ave
#2
Hilo, HI 96720
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413
311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581
100 Buckwalter Place Blvd
Ste 150
Bluffton, SC 29910
Phone (843) 208-2895
25 Hospital Center Blvd
Ste 101
Hilton Head Island, SC 29926
Phone (843) 689-6490
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiation Oncology Physician
- Bluffton, SC
- NPI 1306055025
Radiation Oncology, SC
-
- Critical Access Hospital
- Carroll, IA
- NPI 1720067127
IA
-
- Family Medicine Physician
- Carroll, IA
- NPI 1801815972
IA
-
- Anesthesiology Physician
- Hilo, HI
- NPI 1235981614
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
- Nursing Facility/Intermediate Care Facility
- Hilo, HI
- NPI 1609949775
-
- Anatomic Pathology & Clinical Pathology Physician
- Carroll, IA
- NPI 1629460555
Radiation Oncology
-
- Radiation Oncology Clinic/Center
- Honolulu, HI
- NPI 1285746636
-
- Radiation Oncology Physician
- Honolulu, HI
- NPI 1003851932
Radiation Oncology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Carroll, IA
- NPI 1720067127
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1366415309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 PUNCHBOWL ST",
"address_2": "THE QUEEN'S MEDICAL CENTER DEPT OF RAD ONC",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132402",
"telephone_number": "808-691-4771",
"fax_number": "808-691-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PUNCHBOWL ST",
"address_2": "THE QUEEN'S MEDICAL CENTER DEPT OF RAD ONC",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132402",
"telephone_number": "808-691-4771",
"fax_number": "808-691-4507"
}
],
"practiceLocations": [
{
"address_1": "100 Buckwalter Place Blvd Ste 150",
"address_purpose": "LOCATION",
"city": "Bluffton",
"state": "SC",
"postal_code": "299105023",
"country_code": "US",
"telephone_number": "912-819-4100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Hospital Center Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Hilton Head",
"state": "SC",
"postal_code": "299262735",
"country_code": "US",
"telephone_number": "912-819-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOON",
"first_name": "SCOTT",
"middle_name": "D.M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "SC",
"license": "MD93402",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "HI",
"license": "7901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "F95536",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07351208",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.