Tina Lee Moon, PA-C
Physician Assistant · San Dimas, CA
Tina Lee Moon, PA-C is a physician assistant with a practice address in San Dimas, California, and NPI 1104946383, issued on Mar 30, 2007. Check the license (California 15164, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Tina Lee Moon
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 15164 CA
Self-reported in NPPES; status is on the state search - Practice location
- 1334 W Covina Blvd, San Dimas, CA 91773
- Phone
- (909) 599-8677
- Enumerated
- Mar 30, 2007
- Record last updated
- Jul 21, 2026
- Fax
- (909) 592-0999
- Medicare enrollment
- Enrolled (PECOS I20140423001967); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 1334 W Covina Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Paul Bouz, M.D.Orthopaedic Surgery Physician1649270166
- William Hanes, M.D.Orthopaedic Surgery Physician1386644920
- Sabah Kadhium, MDFamily Medicine Physician1306836770
- Nader Kalantar, M.D.Otolaryngology Physician1598854978
- Richard Magallon, MDFamily Medicine Physician1316925530
- Michael Puniak, M.D.Orthopaedic Surgery Physician1861492712
Verify Tina Lee Moon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 15164Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
92% fewer Medicare Part D claims than the average physician assistant in 2024
68 Medicare Part D claims for 34 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 11 claims were for opioids.
Most prescribed
- Ibuprofen12 claims
- Ondansetron Hcl12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 83.2 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $84.55
6 payments; by number, the most common kind was food and beverage; the largest payer was Novo Nordisk Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Southern California Permanente Medical GroupOntario, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Physician Assistant providers in California
There are 14,451 physician assistant records in California.
Other physician assistant records in California
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- Danny Abad, PAOrange, CA1477158673
- Lea Dominique Abadies, PATustin, CA1124754254
- Rea Elizabeth Abaniel, P.A.-CSeal Beach, CA1396173621
- Ramina Abbasi, PA-CSignal Hill, CA1093448300
- Ariel Abbott, PA-CStockton, CA1780334342
- Barrie Abbott, PA-CAnza, CA1861602575
- Elizabeth Abbott, PA-CSan Diego, CA1437540762
- Terri Abbott, P.A.La Jolla, CA1811165566
- Angela Abboud, MMS, PA-CSanta Rosa, CA1114399334
Common questions
What is Tina Lee Moon, PA-C's NPI number?
Tina Lee Moon, PA-C's National Provider Identifier (NPI) is 1104946383, issued on Mar 30, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Tina Lee Moon, PA-C located?
The NPPES record lists a practice address at 1334 W Covina Blvd, San Dimas, CA, 91773. Phone: (909) 599-8677. Providers update this record themselves, so call before visiting.
How can I verify Tina Lee Moon, PA-C's license?
NPPES lists California license number 15164, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
How much does Tina Lee Moon, PA-C prescribe under Medicare Part D?
In 2024, Tina Lee Moon, PA-C had 68 Medicare Part D claims for 34 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Tina Lee Moon, PA-C's MIPS final score?
The 2023 MIPS final score is 83.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.