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DR. JAKE S KWON D.P.M.
NPI 1629129887
Podiatrist - Primary Podiatric Medicine in Bayside, NY

Active since January 15, 2007PECOS EnrolledAccepts Medicare Assignment
4232 FRANCIS LEWIS BLVD # C, BAYSIDE, NY 11361(646) 389-6485 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 5, 2026, Jul 27, 2022 (2 updates tracked since 2022).

About Dr. Jake S Kwon D.p.m. NPPES

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

DR. JAKE S KWON D.P.M. (NPI 1629129887) is an individual primary podiatric medicine provider in Bayside, New York, licensed in New York (N005468) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Wake Forest University School Of Medicine (2025).

NPPES Registry Identity

NPI1629129887
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameDR. JAKE S KWONCredential: D.P.M.
Location Address4232 FRANCIS LEWIS BLVD # CBayside, NY 11361-2561
Mailing Address81 Pilgrim LnWestbury, NY 11590-6218 · (646) 389-6485 · Fax (718) 939-9865
Phone(646) 389-6485
Sole ProprietorYes
Medical School CMSWake Forest University School Of MedicineGraduated 2025
Enumeration DateJanuary 15, 2007
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1629129887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in NY · N005468
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 25MD002511 (NJ)
4232 FRANCIS LEWIS BLVD # C, Bayside, NY 11361
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Accepted Insurance

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

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. Jake S Kwon D.p.m. 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 ID244311488
PECOS Enrollment IDI20080114000854, I20090113000337
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

2

Medicare enrollment records show Jake Kwon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kwon Podiatry PC
Same address
Foot & Ankle Surgery
4232 FRANCIS LEWIS BLVD
Bayside, NY 11361
  • Reassigned Medicare billing, New York enrollment
NPI 1780310003 (646) 389-6485
Kwon Podiatry Nj PC
12 mi
Podiatrist
2225 LEMOINE AVE FL 1
Fort Lee, NJ 07024
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1588382881 (646) 389-6485

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 8

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
351 services121 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
261 services102 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
237 services101 patients
Simple separation of fingernail or toenail from nail bed, first nail 11730
This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.
78 services67 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
47 services47 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
37 services22 patients

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

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months
100%142 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing
99%142 patients4/55-star benchmark: 100%
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.
100%817 patients5/55-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.
100%527 patients5/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
100%177 patients5/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
100%820 patients5/55-star benchmark: 100%
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…
100%336 patients5/55-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…
22%476 patients1/55-star benchmark: 100%
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 Jake Kwon's NPI number?

The NPI number for Jake Kwon is 1629129887. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Jake Kwon located?

Jake Kwon practices at 4232 Francis Lewis Blvd # C, Bayside, NY 11361. The listed phone number is (646) 389-6485.

What is Jake Kwon's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Jake Kwon enrolled in Medicare?

Yes. Jake 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 Jake Kwon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jake Kwon reassigns Medicare benefits to 2 organizations: Kwon Podiatry PC (Bayside, NY) and Kwon Podiatry Nj PC (Fort Lee, NJ). 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 Jake Kwon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jake Kwon accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jake 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.

When was this NPI record last updated?

The NPPES record for Jake Kwon was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.