MINKYUNG KWON MD
NPI 1902246374
Internal Medicine - Critical Care Medicine in Jacksonville, FL

Q: What is Minkyung Kwon's NPI number?

The NPI number for Minkyung Kwon is 1902246374. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Q: What is Minkyung Kwon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Minkyung Kwon was last updated on October 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 01, 2013PECOS EnrolledAccepts Medicare Assignment

91.34/100

CMS Quality Rating

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2021, Nov 20, 2020, Dec 13, 2017 (3 updates tracked since 2017).

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About Minkyung Kwon Md NPPES

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

MINKYUNG KWON MD (NPI 1902246374) is an individual critical care medicine provider in Jacksonville, Florida, licensed in Texas (S0930) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1902246374

Entity TypeIndividualFemale

Primary Taxonomy207RC0200X

Provider Legal NameMINKYUNG KWONCredential: MD

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865

Phone(904) 953-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 1, 2013

Last NPPES UpdateOctober 7, 20213 updates tracked since enumeration

NPPES CertifiedOctober 7, 2021

✔ NPI 1902246374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in TX · S0930

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License S0930 (TX)

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License ME126949 (FL), S0930 (TX)

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Minkyung Kwon 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 ID2365673779

PECOS Enrollment IDI20190805001632

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

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.

160 services82 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450610

Location921 GessnerHouston, TX 77024 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

91.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.64

Promoting Interoperability

89.13

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers18 claims18 services$63.77 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers12 claims12 services$30.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KATHERINE L WALSH PA-C/MPH

Physician Assistant