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STEPHANIE PETTUS KWON MD
NPI 1063772374
Pediatrics in Charlotte, NC

Active since May 21, 2012PECOS EnrolledAccepts Medicare Assignment
4501 CAMERON VALLEY PKWY, STE 100, CHARLOTTE, NC 28211(704) 367-7400 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 52 more (55 updates tracked since 2016).

About Stephanie Pettus Kwon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE PETTUS KWON MD (NPI 1063772374) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (2015-00556) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Medical University Of South Carolina College Of Medicine (2012).

NPPES Registry Identity

NPI1063772374
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSTEPHANIE PETTUS KWONCredential: MD
Location Address4501 CAMERON VALLEY PKWY, STE 100Charlotte, NC 28211-4297
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 367-7400
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2012
Enumeration DateMay 21, 2012
Last NPPES UpdateJuly 15, 202455 updates tracked since enumeration
✔ NPI 1063772374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2015-00556
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4501 CAMERON VALLEY PKWY, Charlotte, NC 28211
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Secondary Practice Locations 4

Location 1332 N Trade St, Ste 1500Matthews, NC 28105-1728 · Phone (704) 512-6820
Location 26235 Blakeney Park Dr, Ste 100Charlotte, NC 28277-5658 · Phone (704) 512-5060
Location 31350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1422
Location 41001 Blythe Blvd, Medical Center Plaza, Suite 200Charlotte, NC 28203-5866 · Phone (704) 381-8840

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Pettus Kwon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517267388
PECOS Enrollment IDI20151201000012
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID JERRET PUBANTZ MD
Pediatrics
4501 CAMERON VALLEY PKWY, STE 200-B
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-0500
HENRY SMITH
Pediatrics
4501 CAMERON VALLEY PKWY, SUITE 100
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-7400
MEDCARERX INC
Pharmacy (Community/Retail Pharmacy)
4501 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-7440
CAROLINAS MEDICAL CENTER-NORTHEAST
Pediatrics (Developmental - Behavioral Pediatrics)
4501 CAMERON VALLEY PKWY, SUITE 301-B
CHARLOTTE, NC 28211
Mecklenburg County (704) 403-2626
ANNA TAYLOR SCHMELZER MD
Pediatrics
4501 CAMERON VALLEY PKWY, STE 100
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-7400
STEFANIE ANN KIENKER FNP
Nurse Practitioner (Family)
4501 CAMERON VALLEY PKWY, STE 300
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-6255
JAKUB MIESZCZAK MD
Pediatrics (Pediatric Endocrinology)
4501 CAMERON VALLEY PKWY, STE 200
CHARLOTTE, NC 28211
Mecklenburg County (704) 512-3636
CHARLOTTE PEDIATRIC CLINIC
Pediatrics
4501 CAMERON VALLEY PKWY, STE 100
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-7400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Kwon's NPI number?

The NPI number for Stephanie Kwon is 1063772374. It was assigned to this individual provider in the NPPES registry on May 21, 2012.

Where is Stephanie Kwon located?

Stephanie Kwon practices at 4501 Cameron Valley Pkwy Ste 100, Charlotte, NC 28211. The listed phone number is (704) 367-7400.

What is Stephanie Kwon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stephanie Kwon enrolled in Medicare?

Yes. Stephanie Kwon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephanie Kwon accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Stephanie Kwon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Kwon was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.