Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles M. Moon, MD

Individual provider Dermatology Physician · NPI 1487712295

Dr. Charles M. Moon, MD is a Dermatology in Cape Girardeau, Missouri. Graduated from University of Missouri, Columbia School of Medicine in 1999, 27 years ago. Practices with Advanced Dermatology of Southeast Missouri PC, a 9-clinician group and accepts Medicare assignment. Licensed in Indiana and Missouri.

Years since qualifying
27
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
IN, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1359 N Mount Auburn Rd
Cape Girardeau, MO 63701-1727
Phone: (573) 335-7546
Fax: (573) 335-7550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2007038037 (MO)
Dermatology Physician Taxonomy 207N00000X · Licence 01053751A (IN)

Record details

NPI number1487712295
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 5, 2006
Last updated in NPPESJanuary 31, 2017
Mailing address2116 Megan Dr, Ste 102, Cape Girardeau, MO 63701-1979

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Advanced Dermatology Of Southeast Missouri Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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