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HYEOKCHAN KWON MD
NPI 1225597016
Internal Medicine in Philadelphia, PA

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
51 N 39TH ST, PHILADELPHIA, PA 19104(215) 662-9990(215) 243-3297 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 26, 2022, Mar 19, 2019 (2 updates tracked since 2019).

About Hyeokchan Kwon Md NPPES

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

HYEOKCHAN KWON MD (NPI 1225597016) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD477299) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of State University Of New York Downstate Medical Center (2019).

NPPES Registry Identity

NPI1225597016
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHYEOKCHAN KWONCredential: MD
Location Address51 N 39TH STPhiladelphia, PA 19104-2640
Mailing Address51 N 39th StPhiladelphia, PA 19104-2640 · (215) 662-9990 · Fax (215) 243-3297
Phone(215) 662-9990
Fax(215) 243-3297
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateJuly 26, 20222 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1225597016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD477299
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
51 N 39TH ST, Philadelphia, PA 19104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Hyeokchan 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 ID6709113012
PECOS Enrollment IDI20220607000743
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 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.

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.
197 services78 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.
33 services33 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
26 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

DR. ROBERT BURKE M.D.
Internal Medicine
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-9436
JOSEPH FRANCIS HARRYHILL MD
Urology
51 N 39TH ST, MOB SUITE 300
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8699
NIELS DOUGLAS MARTIN MD
Surgery (Trauma Surgery)
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
DESIREE E KOTARBA CRNA
Registered Nurse
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8000
DR. SONYA LEE MD
Obstetrics & Gynecology (Gynecology)
51 N 39TH ST, MOB 340
PHILA, PA 19104
Philadelphia County (215) 662-9775
GARY J VIGILANTE MD
Internal Medicine (Cardiovascular Disease)
51 N 39TH ST, PHI BLDG STE 2C PENN PRESBYTERIAN MEDICAL CENTER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-9010
ANITA C LEE MD
Internal Medicine
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-9436
GIRIDHAR MALLYA MD
Family Medicine
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8777

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 Hyeokchan Kwon's NPI number?

The NPI number for Hyeokchan Kwon is 1225597016. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Hyeokchan Kwon located?

Hyeokchan Kwon practices at 51 N 39th St, Philadelphia, PA 19104. The listed phone number is (215) 662-9990.

What is Hyeokchan Kwon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hyeokchan Kwon enrolled in Medicare?

Yes. Hyeokchan 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 Hyeokchan Kwon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Hyeokchan 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 Hyeokchan Kwon affiliated with any hospitals?

According to CMS data, Hyeokchan Kwon is affiliated with Hospital Of Univ Of Pennsylvania and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Hyeokchan Kwon was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.