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 1,608 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
364
Medicare Part D claims · 245 beneficiaries · Colon & Rectal Surgery Physician avg: 196
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.7/100
▲ 16 pts above national avg 83.1 · Exceptional
Industry payments
$33.8
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Albert Kwon, MD reported a CMS MIPS final score of 98.7/100 - above the 83.1 national average - and filed 364 Medicare Part D claims in 2023.
- 98.7/100
- MIPS score · +16 vs avg
- 364
- Part D claims, 2023
- 79%
- 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.
Albert Kwon, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
99 Top 11% higher than 89% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Albert Kwon, MD sits
This provider among colon & rectal surgery physician peers
Across the 536 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 86% 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.
Part D claim volume vs MIPS quality, by specialty percentile
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
364 86% vs specialty avg
MIPS final score
98.7/100 15.6 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 83.1 national avg · 2023 performance year
MIPS final score (Colon & Rectal Surgery Physician) - 98.7/100 vs national avg 83.1
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).
Albert Kwon, MD appears in the CMS NPPES registry as a Colon & Rectal Surgery Physician provider holding MD credentials at 1124 E RIDGEWOOD AVE STE 202, Ridgewood, NJ, 07450, with a listed phone of (201) 689-9100. NPI 1225298722 was issued on 06/10/2008.
Medicare Part D records for calendar year 2023 show 364 prescription claims written by this provider, covering 245 Medicare beneficiaries and totaling roughly $37K in drug spend, split 21% brand-name and 79% generic by claim count, with an opioid prescribing rate of 4.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.7/100 for the 2023 performance year (Quality 93.6), compared with the national average of 83.1.
Colon & Rectal Surgery Physician is a narrow specialty nationwide, with 1,608 enrolled providers across 50 states and an average of 196 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
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
Avg: 83.1
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 21.0%
Colon & Rectal Surgery Physician average
21% brand-name claims vs 79% generic, on 364 2023 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 2023.
364
Total Claims
$37K
Total Drug Cost
245
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 388
- Total Day Supply
- 4,267
- Brand vs Generic
- 21% brand / 79% generic
- Brand Drug Cost
- $26K
- Generic Drug Cost
- $11K
- Opioid Claims
- 18 (4.9% rate)
- Antibiotic Claims
- 69
Patient Demographics
- Average Patient Age
- 73.9 years
- Avg HCC Risk Score
- 1.13
- Gender Split
- 46% female / 54% male
- Age Distribution
- <65: 11, 65-74: 119, 75-84: 98, 85+: 17
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Albert Kwon, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocortisone
Hydrocortisone
50 claims
- Neomycin Sulfate
Neomycin Sulfate
23 claims
- Erythromycin 18
Erythromycin
18 claims
- Metronidazole 16
Metronidazole
16 claims
- Oxycodone Hcl 16
Oxycodone Hcl
16 claims
- Balsalazide Disodium 13
Balsalazide Disodium
13 claims
| Drug | Claims |
|---|---|
| Hydrocortisone | 50 |
| Neomycin Sulfate | 23 |
| Erythromycin Erythromycin Base | 18 |
| Metronidazole | 16 |
| Oxycodone Hcl | 16 |
| Balsalazide Disodium | 13 |
| Gavilyte-G "Peg3350/Sod Sulf | N/A |
| Sod Sulf-Potass Sulf-Mag Sulf "Sodium | N/A |
* 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.
1,608
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
196
Avg Claims per Provider
Albert Kwon, MD's 364 claims are above the specialty average of 196.
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.
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
Dr. Gregg Baranski
M.D.
Moorestown, NJ
Compare Colon & Rectal Surgery Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Colon & Rectal Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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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 2023, Albert Kwon, MD wrote 364 Medicare Part D claims totaling $37K in drug costs for 245 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 national average MIPS Final Score is 83.1. 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 21% brand-name and 79% generic drugs by claim count, with $26K in brand drug costs.
Does Albert Kwon, MD prescribe opioids? ▼
Yes, Albert Kwon, MD had 18 opioid claims in 2023 with an opioid prescribing rate of 4.9%.
How many Colon & Rectal Surgery Physician providers are there in the US? ▼
There are 1,608 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 196 Medicare Part D claims per year.
What drugs does Albert Kwon, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Albert Kwon, MD's most frequently prescribed drugs include Hydrocortisone, Neomycin Sulfate, Erythromycin. 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 364 Part D claims and 245 Medicare beneficiaries in 2023. 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 (2023). 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 April 2026 (NPPES) / 2023 (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
Compiled from official public sources by the PlainDoctor editorial team.