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EDWIN KYUNGHUN KWON M.D.
NPI 1487097846
Family Medicine in Orange, CA

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment
363 S MAIN ST STE 110, ORANGE, CA 92868(714) 855-3602 Get Directions Write a Review

NPPES record last updated: January 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 1, 2026, Jun 19, 2025, Aug 12, 2020 and 1 more (4 updates tracked since 2020).

About Edwin Kyunghun Kwon M.d. NPPES

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

EDWIN KYUNGHUN KWON M.D. (NPI 1487097846) is an individual family medicine provider in Orange, California, licensed in California (A134063) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2013).

NPPES Registry Identity

NPI1487097846
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDWIN KYUNGHUN KWONCredential: M.D.
Location Address363 S MAIN ST STE 110Orange, CA 92868-3813
Mailing Address363 S Main St Ste 110Orange, CA 92868-3813 · (714) 855-3602 · Fax (714) 822-4144
Phone(714) 855-3602
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2013
Enumeration DateApril 16, 2013
Last NPPES UpdateJanuary 1, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 1, 2026
✔ NPI 1487097846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A134063
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.
363 S MAIN ST STE 110, Orange, CA 92868
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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

Edwin Kyunghun 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 ID648562801
PECOS Enrollment IDI20160707002466
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

5

Medicare enrollment records show Edwin Kwon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Medical Foundation
0.9 mi
Hematology & Oncology
1010 W LA VETA AVE STE 200
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 1,699 clinicians in this Medicare group
NPI 1801443510 (714) 835-1800
Share Our Selves Corporation
3.9 mi
Federally Qualified Health Center (FQHC)
1000 N KRAEMER PL STE 204
Anaheim, CA 92806
  • Reassigned Medicare billing, California enrollment
  • 31 clinicians in this Medicare group
NPI 1184279952 (949) 270-2100
Healthcare Partners Affiliates Medical Group
4.7 mi
Addiction Medicine
14591 NEWPORT AVE
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 2,052 clinicians in this Medicare group
NPI 1891981502 (714) 442-4864
Carbon Health Medical Group Of California PC
29 mi
Urgent Care
600 E COLORADO BLVD # 120
Pasadena, CA 91101
  • Reassigned Medicare billing, California enrollment
  • 241 clinicians in this Medicare group
NPI 1255957205 (415) 200-2133
Crm Physicians, LLC
847 mi
Internal Medicine
6800 SW 105TH AVE STE 206
Beaverton, OR 97008
  • Reassigned Medicare billing, Oregon enrollment
  • 84 clinicians in this Medicare group
NPI 1952674996 (503) 351-3505

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 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.

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.
19 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
9%697 patients1/55-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.
98%1,424 patients4/55-star benchmark: 100%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
2%1,007 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
96%1,007 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
89%1,007 patients4/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
96%645 patients4/55-star benchmark: 100%
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 certified EHR technology to the patient (or the patient-authorized representative), or in…
37%1,007 patients2/55-star benchmark: 75%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
34%1,007 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.

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 Edwin Kwon's NPI number?

The NPI number for Edwin Kwon is 1487097846. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Edwin Kwon located?

Edwin Kwon practices at 363 S Main St Ste 110, Orange, CA 92868. The listed phone number is (714) 855-3602.

What is Edwin Kwon's specialty?

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

Is Edwin Kwon enrolled in Medicare?

Yes. Edwin 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 Edwin Kwon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Kwon reassigns Medicare benefits to 5 organizations: Providence Medical Foundation (Orange, CA), Share Our Selves Corporation (Anaheim, CA), Healthcare Partners Affiliates Medical Group (Tustin, CA), Carbon Health Medical Group Of California PC (Pasadena, CA) and Crm Physicians, LLC (Beaverton, OR). 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 Edwin Kwon'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 Edwin Kwon was last updated on January 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.