BOWHEE SOHN GWAK
NPI 1366856569
Family Medicine in Bothell, WA

Q: What is Bowhee Gwak's NPI number?

The NPI number for Bowhee Gwak is 1366856569. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Q: What is Bowhee Gwak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bowhee Gwak was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 June 16, 2014PECOS EnrolledAccepts Medicare Assignment

59.66/100

CMS Quality Rating

10414 BEARDSLEE BLVD STE 100, BOTHELL, WA 98011(425) 486-0658(425) 487-6761 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2024, Feb 14, 2023, Jan 6, 2023 and 2 more (5 updates tracked since 2018).

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About Bowhee Sohn Gwak NPPES

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

BOWHEE SOHN GWAK (NPI 1366856569) is an individual family medicine provider in Bothell, Washington, licensed in Washington (60773048) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Mercer University School Of Medicine (2014).

NPPES Registry Identity

NPI1366856569

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameBOWHEE SOHN GWAK

Location Address10414 BEARDSLEE BLVD STE 100Bothell, WA 98011-3205

Mailing Address955 Powell Ave SwRenton, WA 98057-2908 · (425) 277-1311

Phone(425) 486-0658

Fax(425) 487-6761

Sole ProprietorNo

Medical School CMSMercer University School Of MedicineGraduated 2014

Enumeration DateJune 16, 2014

Last NPPES UpdateDecember 27, 20245 updates tracked since enumeration

NPPES CertifiedDecember 27, 2024

✔ NPI 1366856569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WA · 60773048✔ Licensed in MI · 4301105225

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10414 BEARDSLEE BLVD STE 100, Bothell, WA 98011

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Secondary Practice Locations 2

Location 112800 Bothell Everett Hwy Ste 160Everett, WA 98208-6644 · Phone (425) 316-5180

Location 233155 Annapolis StWayne, MI 48184-2405 · Phone (734) 467-4000

Other Identifiers 1

Medicaid2086646WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Bowhee Sohn Gwak 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 ID2860766631

PECOS Enrollment IDI20170918000573

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 98011 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

59.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

19.99

Promoting Interoperability

100

Improvement Activities

Cost

70.54

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers23 claims87 services$6.11 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers14 claims24 services$0.95 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

KATHLEEN EIKO TUBRIDY MD

Family Medicine