MR. YOUNGHWA KWON M.D.
NPI 1598286262
Internal Medicine - Pulmonary Disease in Southfield, MI

Active since July 03, 2017PECOS EnrolledAccepts Medicare Assignment
99.66/100
CMS Quality Rating
16001 W 9 MILE RD OFC, SOUTHFIELD, MI 48075(248) 849-5664(488) 495-3232 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2023, Jun 5, 2023, Jun 23, 2020 and 2 more (5 updates tracked since 2017).

About Mr. Younghwa Kwon M.d. NPPES

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

MR. YOUNGHWA KWON M.D. (NPI 1598286262) is an individual pulmonary disease provider in Southfield, Michigan, licensed in Michigan (4351045852) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1598286262
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMR. YOUNGHWA KWONCredential: M.D.
Location Address16001 W 9 MILE RD OFCSouthfield, MI 48075-4818
Mailing Address16001 W 9 Mile Rd OfcSouthfield, MI 48075-4818 · (248) 849-5664 · Fax (248) 849-5323
Fax(488) 495-3232
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 3, 2017
Last NPPES UpdateJune 23, 20205 updates tracked since enumeration
NPPES CertifiedJune 23, 2020
NPI 1598286262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MI · 4351045852
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.
16001 W 9 MILE RD OFC, Southfield, MI 48075

Accepted 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

Mr. Younghwa 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 ID3173944790
PECOS Enrollment IDI20230925003563
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 14

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.
269 services89 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.
148 services82 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
64 services64 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
62 services62 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.
58 services57 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.
53 services53 patients

Hospital Affiliations CMS Care Compare 2

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

Mclaren Thumb Region

Critical Access Hospitals · Bad Axe, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231340
Location1100 S Van Dyke RdBad Axe, MI 48413 · Huron County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

99.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.31
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Radiology (Vascular & Interventional Radiology)
16001 W 9 MILE RD OFC
SOUTHFIELD, MI 48075
Surgery
16001 W 9 MILE RD OFC
SOUTHFIELD, MI 48075

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 Younghwa Kwon's NPI number?

The NPI number for Younghwa Kwon is 1598286262. It was assigned to this individual provider in the NPPES registry on July 3, 2017.

Where is Younghwa Kwon located?

Younghwa Kwon practices at 16001 W 9 Mile Rd Ofc, Southfield, MI 48075. The listed phone number is (248) 849-5664.

What is Younghwa Kwon's specialty?

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

Is Younghwa Kwon enrolled in Medicare?

Yes. Younghwa 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 Younghwa Kwon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Younghwa 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 Younghwa Kwon affiliated with any hospitals?

According to CMS data, Younghwa Kwon is affiliated with Mclaren Bay Region and Mclaren Thumb Region.

When was this NPI record last updated?

The NPPES record for Younghwa Kwon was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.