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DR. GRACE E KONG MD
NPI 1386836336
Obstetrics & Gynecology in Los Angeles, CA

Active since August 14, 2007PECOS EnrolledAccepts Medicare Assignment
84.41/100
CMS Quality Rating
1240 N MISSION RD, 5K 10 MEDICAL EDUCATION OFFICE, LOS ANGELES, CA 90033(323) 226-3393 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Grace E Kong Md NPPES

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

DR. GRACE E KONG MD (NPI 1386836336) is an individual obstetrics & gynecology provider in Los Angeles, California, licensed in California (A94999) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2004).

NPPES Registry Identity

NPI1386836336
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. GRACE E KONGCredential: MD
Location Address1240 N MISSION RD, 5K 10 MEDICAL EDUCATION OFFICELos Angeles, CA 90033-1019
Mailing Address1240 N Mission Rd, 5k 10 Medical Education OfficeLos Angeles, CA 90033-1019
Phone(323) 226-3393
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2004
Enumeration DateAugust 14, 2007
✔ NPI 1386836336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A94999
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1240 N MISSION RD, Los Angeles, CA 90033
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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

Dr. Grace E Kong 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 ID4688733561
PECOS Enrollment IDI20081106000670
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 Reassignment

Medicare enrollment records show Grace Kong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hoag Clinic
34 mi
Primary Care
510 SUPERIOR AVE
Newport Beach, CA 92663
  • Reassigned Medicare billing, California enrollment
  • 529 clinicians in this Medicare group
NPI 1942799523 (949) 791-3001

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services57 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
39 services39 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
39 services39 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
17 services17 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

84.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.67
Promoting Interoperability100
Improvement Activities40
Cost57.36

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
84%699 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
91%1,848 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
40%187 patients2/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
4%714 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%3,261 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%2,219 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
46%385 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%455 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
87%2,622 patients4/55-star benchmark: 97%
Pregnant women that had HBsAg testing
This measure identifies pregnant women who had a HBsAg (hepatitis B) test during their pregnancy
100%140 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
96%2,115 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
7%1,356 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 1,944 patients
Patients tobacco: 3% · 33 patients
97%1,944 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%2,622 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
51%141 patients3/55-star benchmark: 97%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
82%2,622 patients4/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 270 patients
4%270 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
82%2,622 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MEERA DHIRUBHAI KANANI D.O.
Pediatrics
1240 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (323) 226-3691
DR. JAMES ALLAN MCGREGOR M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1240 N MISSION RD, ROOM 5K40
LOS ANGELES, CA 90033
Los Angeles County (323) 221-3270
ROSSANA ROSALES NP
Nurse Practitioner (Obstetrics & Gynecology)
1240 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (323) 226-3106
DR. NANTHIDA PHATTRAPRAYOON MD
Pediatrics
1240 N MISSION RD, L919
LOS ANGELES, CA 90033
Los Angeles County (323) 226-3409
DR. SHILPA PATIL M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1240 N MISSION RD, RM L-919
LOS ANGELES, CA 90033
Los Angeles County (323) 226-3406
KRISTIN EILEEN KEA ANDRADE M.D.
Pediatrics
1240 N MISSION RD, ROOM L-902
LOS ANGELES, CA 90033
Los Angeles County (323) 226-3691
MR. KEVIN FOSTER PA/NP
Physician Assistant (Medical)
1240 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (323) 409-3750
ARTHUR PARTIKIAN M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1240 N MISSION RD, BUILDING WCH, ROOM L902
LOS ANGELES, CA 90033
Los Angeles County (323) 226-3691

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 Grace Kong's NPI number?

The NPI number for Grace Kong is 1386836336. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Grace Kong located?

Grace Kong practices at 1240 N Mission Rd 5K 10 Medical Education Office, Los Angeles, CA 90033. The listed phone number is (323) 226-3393.

What is Grace Kong's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Grace Kong enrolled in Medicare?

Yes. Grace Kong 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 organization bills Medicare for Grace Kong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Kong reassigns Medicare benefits to Hoag Clinic (Newport Beach, CA). The 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 Grace Kong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Grace Kong was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.