EDWIN KYUNGHUN KWON M.D.
NPI 1487097846
Family Medicine in Costa Mesa, CA
NPI Status: Active since April 16, 2013
Contact Information
1550 SUPERIOR AVE
COSTA MESA, CA
ZIP 92627
Phone: (949) 270-2100
Fax: (949) 650-4458
- Individual
- Male
- Years of Experience 13
- Family Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About EDWIN KWON
This page provides the complete NPI Profile along with additional information for Edwin Kwon, a primary care provider established in Costa Mesa, California with a medical specialization in Family Medicine and more than 13 years of experience. He graduated from University Of California, Irvine, California College Of Medicine in 2013. The healthcare provider is registered in the NPI registry with number 1487097846 assigned on April 2013. The practitioner's primary taxonomy code is 207Q00000X with license number A134063 (CA). The provider is registered as an individual and his NPI record was last updated June 2025.
- NPI
- 1487097846
- Provider Name
- EDWIN KYUNGHUN KWON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1550 SUPERIOR AVE COSTA MESA, CA 92627
- Location Phone
- (949) 270-2100
- Location Fax
- (949) 650-4458
- Mailing Address
- PO BOX 10159 COSTA MESA, CA 92627
- Mailing Phone
- (949) 270-2100
- Mailing Fax
- (949) 650-4458
- Medical School Name
- UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
- Graduation Year
- 2013
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-16-2013
- Last Update Date
- 06-19-2025
- Code Navigator
A primary care provider (PCP) like Edwin Kwon sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Secondary Locations
- 363 S Main St Ste 110
Orange, CA 92868
(714) 855-3602
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A134063
- License State
- CA
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Medicare Participation & PECOS Enrollment Status
Edwin Kwon is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Edwin 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.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 648562801
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20160707002466
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
New patient office or other outpatient visit, 30-44 minutes
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.
This service was performed 15 times for 15 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $24.09 for a new patient copayment and $27.49 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 92627 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $96.36
- Minimum New Patient Price $62.96
- Maximum New Patient Price $187.6
- Average New Patient Copayment $24.09
- Minimum New Patient Copayment $15.74
- Maximum New Patient Copayment $46.9
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $109.96
- Minimum Established Patient Price $20.84
- Maximum Established Patient Price $153.61
- Average Established Patient Copayment $27.49
- Minimum Established Patient Copayment $5.21
- Maximum Established Patient Copayment $38.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care coordination agreements that promote improvements in patient tracking across settings | Yes | N/A |
| Establish effective care coordination and active referral management that could include one or more of the following: Establish care coordination agreements with frequently used consultants that set expectations for documented flow of information and MIPS eligible clinician or MIPS eligible clinician group expectations between settings. Provide patients with information that sets their expectations consistently with the care coordination agreements; Track patients referred to specialist through the entire process; and/or Systematically integrate information from referrals into the plan of care. | ||
| Care transition documentation practice improvements | Yes | N/A |
| Implementation of practices/processes for care transition that include documentation of how a MIPS eligible clinician or group carried out a patient-centered action plan for first 30 days following a discharge (e.g., staff involved, phone calls conducted in support of transition, accompaniments, navigation actions, home visits, patient information access, etc.). | ||
| Care transition standard operational improvements | Yes | N/A |
| Establish standard operations to manage transitions of care that could include one or more of the following: Establish formalized lines of communication with local settings in which empaneled patients receive care to ensure documented flow of information and seamless transitions in care; and/or Partner with community or hospital-based transitional care services. | ||
| Clinical Information Reconciliation | 9% | 697 |
| For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation. The MIPS eligible clinician must implement clinical information reconciliation for the following three clinical information sets: (1) Medication. Review of the patient's medication, including the name, dosage, frequency, and route of each medication. (2) Medication allergy. Review of the patient's known medication allergies. (3) Current Problem list. Review of the patient's current and active diagnoses. | ||
| Engagement of community for health status improvement | Yes | N/A |
| Take steps to improve health status of communities, such as collaborating with key partners and stakeholders to implement evidenced-based practices to improve a specific chronic condition. Refer to the local Quality Improvement Organization (QIO) for additional steps to take for improving health status of communities as there are many steps to select from for satisfying this activity. QIOs work under the direction of CMS to assist MIPS eligible clinicians and groups with quality improvement, and review quality concerns for the protection of beneficiaries and the Medicare Trust Fund. | ||
| e-Prescribing | 98% | 1424 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data and receive immunization forecasts and histories from the public health immunization registry/immunization information system (IIS). | ||
| Patient-Specific Education | 96% | 1007 |
| The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 89% | 1007 |
| 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 ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology. | ||
| Public Health Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit data to public health registries. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_PHCDRR_4_MULTI. | ||
| Request/Accept Summary of Care | 96% | 645 |
| For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an electronic summary of care document. | ||
| Secure Messaging | 37% | 1007 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative). | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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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 | 4 | 8 | 7 | 0 | 9 | 7 | 8 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 0 | 9 | 14 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 0 + 9 + 1 + 4 + 8 + 8 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1487097846 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1538171483 | ALINA MATUTES FNP Individual | Nurse Practitioner | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2161 |
| 1104970656 | PATRICK CHEN Organization | Clinic/Center (Health Service) | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 650-0640 |
| 1003961749 | JEREMY ELKINS PA-C Individual | Physician Assistant (Medical) | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 650-0186 |
| 1407060155 | LOU-ANNE KEITH NP Individual | Nurse Practitioner (Family) | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 650-0186 |
| 1427265073 | PAUL R KUHN M.D. Individual | Internal Medicine | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 650-0186 |
| 1497963771 | DR. DIANE LIM BEYAOJU DDS Individual | Dentist (General Practice) | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 650-0656 |
| 1780892083 | JILA NIKKHAH DDS Individual | Dentist (General Practice) | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 650-0186 |
| 1538369806 | DR. MARY ANN HODGES HUNTSMAN PHARM. D. Individual | Pharmacist | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 650-0186 |
| 1053590844 | CARLOS INFANTE ROBLES PHARMACIST Individual | Pharmacist | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 650-0640 |
| 1629258447 | MR. CHRISTOPHER BURKETT P.A. Individual | Physician Assistant | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 650-0640 |
| 1982660452 | DR. DUC THE VU DDS Individual | Dentist | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2130 |
| 1568876209 | MRS. NICOLE GANCI LVN Individual | Licensed Vocational Nurse | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2100 |
| 1063894988 | MS. CHRISTINA THI NGUYEN PA - C Individual | Physician Assistant (Medical) | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2100 |
| 1356515365 | DR. ERIC CHUANG-HAN HUANG M.D. Individual | Family Medicine | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 536-3914 |
| 1710329503 | SARA COBURN PA-C Individual | Physician Assistant (Medical) | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2100 |
| 1306197819 | MISS JESSICA MARIE JIMENEZ PA-C Individual | Physician Assistant | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2100 |
| 1720590003 | STEPHANIE TRAN PA Individual | Physician Assistant | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2100 |
| 1336505312 | ROCIO MAGDALENA BENDER PHARMD Individual | Pharmacist | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2100 |
| 1548757271 | NANCY DAO PHARMD Individual | Pharmacist | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2100 |
| 1821612128 | SHARE OUR SELVES CORPORATION Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487097846, enumerated in the NPI registry as an "individual" on April 16, 2013
The provider is located at 1550 Superior Ave Costa Mesa, Ca 92627 and the phone number is (949) 270-2100
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider has more than 13 years of experience. He graduated from University Of California, Irvine, California College Of Medicine in 2013.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a 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.
Medicare beneficiaries should expect a typical cost of $96.36 with an average copayment of $24.09 for new patient appointments. Established patients should expect a typical charge of $109.96 and an average copayment of 27.49. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: New patient office or other outpatient visit, 30-44 minutes.
This NPI record was last updated on April 16, 2013. 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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