Individual provider Active NPI

Scott D.M. Moon, M.D.

  • Radiation Oncology Physician
  • Honolulu, HI
National Provider Identifier
1366415309
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
7901 Issued in HI
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

Updated by the provider on May 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
F95536OtherHIHMSA
07351208MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, IA, SC, GA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
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 LLC 14 clinicians
Hilo Benioff Medical Center 131 clinicians
The Queens Medical Center 191 clinicians

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 Hospital, Honolulu, HI, CCN 120001
  • St Anthony Regional Hospital & Nursing Home Hospital, Carroll, IA, CCN 161382
  • Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
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

LicenseStateTypeSpecialty
152MSMDMental Health Counselor
7901HIMDRadiation Oncology Physician
MD93402SCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Benioff Medical Center CurrentSince Sep 9, 2022 Accepting new patients
St Anthony Regional Hospital and Nursing Home Radiation Oncology CurrentSince Jul 1, 2025 Accepting new patients
St Anthony Regional Hospital and Nursing Home CurrentSince Jul 1, 2025 Accepting new patients
SJC Oncology Services-South Carolina, LLC Radiation Oncology CurrentSince Nov 10, 2025 Accepting new patients
The Queens Medical Center CurrentSince Feb 1, 2012 Accepting new patients
Hilo Benioff Medical Center CurrentSince Sep 9, 2022 Accepting new patients
The Queen'S Medical Center CurrentSince Feb 1, 2012 Accepting new patients
St Anthony Regional Hospital and Nursing Home Current Accepting new patients
Cancer Center of Hawaii, LLC PastSince Dec 1, 2004 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 PastSince Jul 1, 2004 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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.