MR. RAYMOND KWONG PA-C
NPI 1104396076
Physician Assistant in Rockford, IL

Q: What is Raymond Kwong's NPI number?

The NPI number for Raymond Kwong is 1104396076. It was assigned to this individual provider in the NPPES registry on December 4, 2018.

Q: What is Raymond Kwong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Raymond Kwong was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 04, 2018PECOS EnrolledAccepts Medicare Assignment

444 ROXBURY RD, ROCKFORD, IL 61107(815) 398-3000(815) 391-5076 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 21, 2025, Jun 6, 2024, Apr 26, 2021 and 3 more (6 updates tracked since 2018).

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About Mr. Raymond Kwong Pa-c NPPES

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

MR. RAYMOND KWONG PA-C (NPI 1104396076) is an individual physician assistant in Rockford, Illinois, licensed in Illinois (085-006788) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS, is affiliated with Saint Anthony Medical Center, and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1104396076

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. RAYMOND KWONGCredential: PA-C

Location Address444 ROXBURY RDRockford, IL 61107-5059

Mailing Address444 Roxbury RdRockford, IL 61107-5059 · (815) 398-3000 · Fax (815) 391-5076

Phone(815) 398-3000

Fax(815) 391-5076

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 4, 2018

Last NPPES UpdateFebruary 21, 20256 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2025

✔ NPI 1104396076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085-006788

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 4564 (WI)

444 ROXBURY RD, Rockford, IL 61107

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Secondary Practice Location 1

Location 1530 NE Glen Oak AvePeoria, IL 61637-1148 · Phone (309) 655-2000 · Fax (309) 624-3344

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

Mr. Raymond Kwong Pa-c 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 ID3375888423

PECOS Enrollment IDI20190604003319

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services18 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140233

Location5666 East State StreetRockford, IL 61108 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

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.

REBECCA MARSHALL

Registered Nurse