NPI registry status
Active
2026 NPPES data Colon & Rectal Surgery Physician NPI 1225298722 MD
Verify on CMS → Albert Kwon, MD
Colon & Rectal Surgery Physician in Ridgewood, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,642 in Colon & Rectal Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
518
Medicare Part D claims · 292 beneficiaries · Colon & Rectal Surgery Physician avg: 210
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.7/100
▲ 15 pts above national avg 83.5 · Exceptional
Industry payments
$33.8
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Albert Kwon, MD reported a CMS MIPS final score of 98.7/100 - above the 83.5 national average - and filed 518 Medicare Part D claims in 2024.
- 98.7/100
- MIPS score · +15 vs avg
- 518
- Part D claims, 2024
- 80%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Albert Kwon, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1225298722), first enumerated 06/10/2008.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 518 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 98.7/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$33.8 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1225298722 · Colon & Rectal Surgery Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1225298722
- ENUM-MID 2008
- TAX-NARROW 1,642
- MIPS-ELITE 98.7/100
- RX-LIGHT 518
- BOOK-THIN 70 in New Jersey
- PHOTO-FINISH Dominique Vande Maele · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Paula Denoya · l…
Paula Denoya
98.5 MIPS pts
- Deborah Nagle · …
Deborah Nagle
98.5 MIPS pts
- Kwon · this prov…
Kwon · this provider
98.7 MIPS pts
- Dominique Vande …
Dominique Vande Maele
98.7 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Albert Kwon, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
99 ≥ 89th percentile 89% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Albert Kwon, MD sits
This provider among colon & rectal surgery physician peers
Across the 511 colon & rectal surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Albert Kwon, MD writes more Part D claims than 93% of them and scores higher on MIPS quality than 92% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one colon & rectal surgery physician peer from a representative sample of 60; the gold marker is Albert Kwon, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Albert Kwon, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Albert Kwon, MD?
High performer (top quartile)Primary specialty
Colon & Rectal Surgery Physician
Medicare Part D claims
518 147% vs specialty avg
MIPS final score
98.7/100 15.2 pts vs avg
Specialty distribution in New Jersey
How Colon & Rectal Surgery Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Albert Kwon, MD's 2023 MIPS final score plotted against the Colon & Rectal Surgery Physician national average
- MIPS Final Score
- 98.7/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1225298722 |
|---|---|
| Specialty | Colon & Rectal Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/10/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
98.6738
Final Score
Measured-score avg: 83.5
93.5705
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Albert Kwon, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Valley Physician Services PC
Hoboken, NJ
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Albert Kwon, MD. Source: openpaymentsdata.cms.gov.
Total received
$34
Largest payer
Takeda Pharmaceuticals U.S.A., Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Typical
Albert Kwon, MD - brand share 20.0%
Colon & Rectal Surgery Physician average
20% brand-name claims vs 80% generic, on 518 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
518
Total Claims
$41K
Total Drug Cost
292
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 550
- Total Day Supply
- 6,498
- Brand vs Generic
- 20% brand / 80% generic
- Brand Drug Cost
- $28K
- Generic Drug Cost
- $14K
- Opioid Claims
- 17 (3.3% rate)
- Antibiotic Claims
- 91
Patient Demographics
- Average Patient Age
- 73.8 years
- Avg HCC Risk Score
- 1.18
- Gender Split
- 52% female / 48% male
- Age Distribution
- <65: 12, 65-74: 163, 75-84: 89, 85+: 28
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Albert Kwon, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Sod Sulf-Potass Su…
Sod Sulf-Potass Sulf-Mag Sulf
156 claims
- Hydrocortisone
Hydrocortisone
74 claims
- Neomycin Sulfate 34
Neomycin Sulfate
34 claims
- Erythromycin 31
Erythromycin
31 claims
- Procto-Med Hc 31
Procto-Med Hc
31 claims
- Diphenoxylate-Atro… 27
Diphenoxylate-Atropine
27 claims
- Sutab 26
Sutab
26 claims
- Oxycodone Hcl 15
Oxycodone Hcl
15 claims
| Drug | Claims |
|---|---|
| Sod Sulf-Potass Sulf-Mag Sulf Sodium, Potassium,mag Sulfates | 156 |
| Hydrocortisone | 74 |
| Neomycin Sulfate | 34 |
| Erythromycin Erythromycin Base | 31 |
| Procto-Med Hc Hydrocortisone | 31 |
| Diphenoxylate-Atropine Diphenoxylate Hcl/Atropine | 27 |
| Sutab Sod Sulf/Pot Chloride/Mag Sulf | 26 |
| Oxycodone Hcl | 15 |
| Balsalazide Disodium | 12 |
| Metronidazole | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Colon & Rectal Surgery Physician Overview
How Albert Kwon, MD fits within the Colon & Rectal Surgery Physician landscape nationally.
1,642
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
210
Avg Claims per Provider
Albert Kwon, MD's 518 claims are above the specialty average of 210.
Nationwide Colon & Rectal Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Kwon, both outside New Jersey so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (98.7 here).
Same NPPES enumeration year (2008)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Colon & Rectal Surgery Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Kwon.
One of 70 Colon & Rectal Surgery Physician providers enrolled in New Jersey, 5 are shown here.
Dr. Marnie Abeshouse
MD
Hackensack, NJ
Analena Alcabes
South Plainfield, NJ
Dr. Marjan Aleali
MD
Maywood, NJ
Dr. Melissa Alvarez-Downing
M.D.
Newark, NJ
Dr. Michael Arvanitis
MD
Eatontown, NJ
Compare Colon & Rectal Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Albert Kwon, MD's specialty? ▼
Albert Kwon, MD specializes in Colon & Rectal Surgery Physician and practices in Ridgewood, New Jersey. Credentials: MD.
How much does Albert Kwon, MD prescribe under Medicare Part D? ▼
In 2024, Albert Kwon, MD wrote 518 Medicare Part D claims totaling $41K in drug costs for 292 beneficiaries.
What is Albert Kwon, MD's Medicare quality score? ▼
Albert Kwon, MD has a CMS MIPS Final Score of 98.7/100 (Quality: 93.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Albert Kwon, MD located? ▼
Albert Kwon, MD is located at 1124 E RIDGEWOOD AVE STE 202, Ridgewood, NJ, 07450. Phone: (201) 689-9100.
What is Albert Kwon, MD's NPI number? ▼
Albert Kwon, MD's National Provider Identifier (NPI) is 1225298722, issued on 06/10/2008.
Does Albert Kwon, MD prescribe more brand-name or generic drugs? ▼
Albert Kwon, MD's prescribing is 20% brand-name and 80% generic drugs by claim count, with $28K in brand drug costs.
Does Albert Kwon, MD prescribe opioids? ▼
Yes, Albert Kwon, MD had 17 opioid claims in 2024 with an opioid prescribing rate of 3.3%.
How many Colon & Rectal Surgery Physician providers are there in the US? ▼
There are 1,642 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 210 Medicare Part D claims per year.
What drugs does Albert Kwon, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Albert Kwon, MD's most frequently prescribed drugs include Sod Sulf-Potass Sulf-Mag Sulf, Hydrocortisone, Neomycin Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Albert Kwon, MD accept Medicare? ▼
Albert Kwon, MD appears in CMS Medicare data with 518 Part D claims and 292 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Albert Kwon, MD's credentials? ▼
Albert Kwon, MD's NPI is 1225298722 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.