DR. CAROLYN KWAN MD
NPI 1942724554
Family Medicine in Lorain, OH
About Dr. Carolyn Kwan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CAROLYN KWAN MD (NPI 1942724554) is an individual family medicine provider in Lorain, Ohio, licensed in Ohio (35.139910) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Mercy Regional Medical Center, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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. Carolyn Kwan 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.
Medicare Billing Reassignments
2Medicare enrollment records show Carolyn Kwan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lorain, OH 44053
- Reassigned Medicare billing, Ohio enrollment
- 151 clinicians in this Medicare group
Ashtabula, OH 44004
- Reassigned Medicare billing, Ohio enrollment
- 177 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Regional Medical Center
Acute Care Hospitals · Lorain, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44053 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carolyn Kwan's NPI number?
The NPI number for Carolyn Kwan is 1942724554. It was assigned to this individual provider in the NPPES registry on July 26, 2017.
Where is Carolyn Kwan located?
Carolyn Kwan practices at 5940 Oak Point Rd, Lorain, OH 44053. The listed phone number is (440) 988-3705.
What is Carolyn Kwan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Carolyn Kwan enrolled in Medicare?
Yes. Carolyn Kwan 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 Carolyn Kwan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Kwan reassigns Medicare benefits to 2 organizations: Mercy Health Physicians Lorain, LLC (Lorain, OH) and Ashtabula County Medical Center (Ashtabula, OH). 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 Carolyn Kwan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carolyn Kwan accept?
Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., MedMutual and Oscar Health Insurance and 1 other insurer list Carolyn Kwan 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 Carolyn Kwan affiliated with any hospitals?
According to CMS data, Carolyn Kwan is affiliated with Mercy Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Carolyn Kwan was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Carolyn Kwan, MD · NPI 1942724554
Family Medicine physician in Lorain, Ohio. Individual provider, active in the CMS NPPES registry since July 26, 2017.
## Identity
- **NPI:** 1942724554 (Entity type: Individual)
- **Enumerated:** July 26, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35.139910 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 5940 OAK POINT RD, Lorain, OH 44053-4100
- **Phone:** (440) 988-3705
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mercy Health Physicians Lorain, LLC (NPI 1023347192, Lorain, OH); Ashtabula County Medical Center (NPI 1285607416, Ashtabula, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1942724554) · Data from the CMS NPPES public registry.