HERBERT PETER KWON M.D.
NPI 1205873668
Internal Medicine - Pulmonary Disease in Tacoma, WA

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
9040A JACKSON AVE MADIGAN - DEPT OF MEDICINE, TACOMA, WA 98431(253) 968-1290 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 24, 2023, Apr 26, 2021, Jan 7, 2020 and 2 more (5 updates tracked since 2018).

About Herbert Peter Kwon M.d. NPPES

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

HERBERT PETER KWON M.D. (NPI 1205873668) is an individual pulmonary disease provider in Tacoma, Washington, licensed in Washington (MD60583622) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1205873668
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameHERBERT PETER KWONCredential: M.D.
Location Address9040A JACKSON AVE MADIGAN - DEPT OF MEDICINETacoma, WA 98431-0001
Mailing Address201 16th Ave ESeattle, WA 98112-5226 · (206) 326-3000
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2001
Enumeration DateJune 2, 2006
Last NPPES UpdateFebruary 24, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
✔ NPI 1205873668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in WA · MD60583622
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD60583622 (WA), MC-1747 (ID)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License MD60583622 (WA)
9040A JACKSON AVE MADIGAN - DEPT OF MEDICINE, Tacoma, WA 98431

Secondary Practice Locations 4

Location 13851 Roger Brooke Dr, DoMedicine- PulmonaryFort Sam Houston, TX 78234-4501 · Phone (210) 916-2729
Location 23900 Capital Mall Dr SWOlympia, WA 98502 · Phone (360) 704-4743 · Fax (360) 704-4751
Location 3201 16th Ave ESeattle, WA 98112-5226 · Phone (206) 326-3000
Location 41055 N Curtis RdBoise, ID 83706-1309 · Phone (208) 302-2000 · Fax (208) 302-2055

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Herbert Peter Kwon M.d. 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 ID5193979748
PECOS Enrollment IDI20160113002376, I20220929001363
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Herbert Kwon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2715 NACHES AVE SW # GSWA1N02
Renton, WA 98057
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
Occupational Medicine
3900 CAPITOL MALL DR SW
Olympia, WA 98502
  • Reassigned Medicare billing, Washington enrollment
  • 220 clinicians in this Medicare group
Clinic/Center
103 S 3RD AVE
Edgar, WI 54426
  • Reassigned Medicare billing, Wisconsin enrollment
  • 633 clinicians in this Medicare group
Critical Care Medicine
3801 SPRING ST
Mount Pleasant, WI 53405
  • Reassigned Medicare billing, Wisconsin enrollment
  • 72 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
100 services56 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
73 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
40 services27 patients
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.
23 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers25 claims25 services$61.02 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers23 claims23 services$29.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Herbert Kwon's NPI number?

The NPI number for Herbert Kwon is 1205873668. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Herbert Kwon located?

Herbert Kwon practices at 9040A Jackson Ave Madigan - Dept Of Medicine, Tacoma, WA 98431. The listed phone number is (253) 968-1290.

What is Herbert Kwon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Herbert Kwon enrolled in Medicare?

Yes. Herbert 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.

Which organizations bill Medicare for Herbert Kwon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Herbert Kwon reassigns Medicare benefits to 4 organizations: Kaiser Foundation Health Plan Of Washington (Renton, WA), Capital Medical Center Specialty Physicians, LLC (Olympia, WA), Aspirus Wausau Hospital Inc (Edgar, WI) and Midwest Critical Care Sc (Mount Pleasant, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Herbert Kwon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Herbert Kwon accept?

Health plans from Aspirus Health Plan and Network Health list Herbert 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.

Is Herbert Kwon affiliated with any hospitals?

According to CMS data, Herbert Kwon is affiliated with Aspirus Wausau Hospital, Ascension Columbia St Mary's Hospital Milwaukee, Ascension All Saints Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Herbert Kwon was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.