DR. KATHERINE WESTIN KWON M.D. NPI 1891907770
Internal Medicine - Nephrology in Saint Joseph, MI
About DR. KATHERINE WESTIN KWON M.D.
Katherine Kwon is an internist established in Saint Joseph, Michigan and her medical specialization is Internal Medicine with a focus in nephrology with more than 22 years of experience. She graduated from Albert Einstein College Of Medicine Of Yeshiva University in 2001. The NPI number of Katherine Kwon is 1891907770 and was assigned on May 2007. The practitioner's primary taxonomy code is 207RN0300X with license number 0101236883 (VA). The provider is registered as an individual and her NPI record was last updated 16 years ago.
| NPI | 1891907770 |
| Provider Name | DR. KATHERINE WESTIN KWON M.D. |
| Location Address | 3800 HOLLYWOOD RD SUITE 104 SAINT JOSEPH, MI 49085 |
| Location Phone | (269) 428-0819 |
| Mailing Address | 3800 HOLLYWOOD RD SUITE 104 SAINT JOSEPH, MI 49085 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 2001 |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 05-04-2007 |
| Last Update Date | 07-08-2007 |
An internist like Dr. Katherine Westin Kwon M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Katherine Kwon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Katherine Kwon is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with .
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.6, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207RN0300X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Nephrology |
| License No. | 0101236883 |
| License State | VA |
| Taxonomy Description | An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Business Address
DR. KATHERINE WESTIN KWON M.D.
3800 HOLLYWOOD RD
SUITE 104
SAINT JOSEPH, MI
ZIP 49085
Phone: (269) 428-0819
Fax: (269) 428-0841
Mailing Address
DR. KATHERINE WESTIN KWON M.D.
3800 HOLLYWOOD RD
SUITE 104
SAINT JOSEPH, MI
ZIP 49085
Phone: (269) 428-0819
Fax: (269) 428-0841
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 2769582121 |
| PECOS Enrollment ID | I20070713000594 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 100 | |
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The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | 82 | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 94.6 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 273Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
- 212Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
- 66Hemodialysis procedure with one physician evaluation (HCPCS:90935)
- 61Home dialysis services per month, patient 20 years of age or older (HCPCS:90966)
- 58Urinalysis, manual test (HCPCS:81002)
- 25Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 9 | 1 | 9 | 0 | 7 | 7 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 18 | 1 | 18 | 0 | 14 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 8 + 1 + 1 + 8 + 0 + 1 + 4 + 7 + 1 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1891907770 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1407843469 | DAVID RALPH HALSTEAD DPM Individual | Podiatrist | 3800 HOLLYWOOD RD SUITE 103 SAINT JOSEPH, MI 49085 (269) 428-2440 |
| 1144210881 | CRAIG DENNIS OKONSKI DPM Individual | Podiatrist | 3800 HOLLYWOOD RD SUITE 103 SAINT JOSEPH, MI 49085 (269) 428-2440 |
| 1134225550 | MR. EUGENE A PRESTON PA-C Individual | Physician Assistant (Medical) | 3800 HOLLYWOOD RD SAINT JOSEPH, MI 49085 (269) 428-2552 |
| 1649362799 | DR. DANIEL W BRASH M.D. Individual | Internal Medicine (Nephrology) | 3800 HOLLYWOOD RD SUITE 104 SAINT JOSEPH, MI 49085 (269) 428-0819 |
| 1891887964 | DR. OLIVER CHAMBERS SONGLINGCO M.D. Individual | Internal Medicine (Nephrology) | 3800 HOLLYWOOD RD SUITE 104 SAINT JOSEPH, MI 49085 (269) 428-0819 |
| 1013086446 | MUKUND SHAH M.D. Individual | Pediatrics | 3800 HOLLYWOOD RD SUITE 102 SAINT JOSEPH, MI 49085 (269) 428-2727 |
| 1366587354 | ROYALTON FOOT AND ANKLE ASSOC Organization | Durable Medical Equipment & Medical Supplies | 3800 HOLLYWOOD RD SUITE 103 SAINT JOSEPH, MI 49085 (269) 428-2440 |
| 1821201500 | LAKE MICHIGAN NEPHROLOGY, L.L.C Organization | Specialist | 3800 HOLLYWOOD RD SUITE 104 SAINT JOSEPH, MI 49085 (269) 428-0819 |
| 1649440231 | MUKUND R SHAH MD PLC Organization | Pediatrics | 3800 HOLLYWOOD RD SUITE 102 SAINT JOSEPH, MI 49085 (269) 428-2727 |
| 1578509683 | ROYALTON FOOT & ANKLE ASSOCIATES PC 17 Organization | Podiatrist (Foot & Ankle Surgery) | 3800 HOLLYWOOD RD STE. #103 SAINT JOSEPH, MI 49085 (269) 428-2440 |
| 1629113618 | ROYALTON FOOT AND ANKLE ASSOC Organization | Durable Medical Equipment & Medical Supplies | 3800 HOLLYWOOD RD SUITE 103 SAINT JOSEPH, MI 49085 (269) 428-2440 |
Frequently Asked Questions
What is Dr. Katherine Kwon M.D. NPI number?
The NPI number assigned to Dr. Katherine Kwon M.D. is 1891907770, registered as an "individual" on May 04, 2007
Where is Dr. Katherine Kwon M.D. located?
The provider is located at 3800 Hollywood Rd Suite 104 Saint Joseph, Mi 49085 and the phone number is (269) 428-0819
Which is Dr. Katherine Kwon M.D. specialty?
The provider's speciality is Internal Medicine with a focus in Nephrology
How many years of experience does Dr. Katherine Kwon M.D. have?
The provider has more than 22 years of experience. She graduated from Albert Einstein College Of Medicine Of Yeshiva University in 2001.
Is Dr. Katherine Kwon M.D. registered in PECOS?
Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are Dr. Katherine Kwon M.D. Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
What are some of the services provided by Dr. Katherine Kwon M.D.?
The most common procedures or services performed by this practitioner are: Dialysis services (4 or more physician visits per month), patient 20 years of age and older, Dialysis services (2-3 physician visits per month), patient 20 years of age and older, Hemodialysis procedure with one physician evaluation, Home dialysis services per month, patient 20 years of age or older, Urinalysis, manual test and Dialysis services (1 physician visit per month), patient 20 years of age and older.
How do I update my NPI information?
The NPI record of Dr. Katherine Kwon M.D. was last updated on May 04, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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