2026 NPPES data General Practice Physician NPI 1265819163 M.D
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YONG HWAN KWON, M.D

General Practice Physician in VISALIA, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
666
Medicare Part D claims · 381 beneficiaries · General Practice Physician avg: 3K
MIPS score
94.6267/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$13.12
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

YONG HWAN KWON, M.D reported a CMS MIPS final score of 94.6267/100 — above the 83.1 national average — and filed 666 Medicare Part D claims in 2023.

94.6267/100
MIPS score · +12 vs avg
666
Part D claims, 2023
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.

YONG HWAN KWON, M.D's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

95 Top 25% higher than 75% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

YONG HWAN KWON, M.D 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 YONG HWAN KWON, M.D?

High performer (top quartile)

NPI registry status

Active

Issued 04/29/2015

NPI 1265819163

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

666 77% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

MIPS final score

94.6267/100 11.526700000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How General Practice Physician compares to other specialties among California providers

California providers

General Practice Physician share within California

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within California

Medicare quality performance — MIPS

YONG HWAN KWON, M.D's 2023 MIPS final score plotted against the General Practice Physician national average

High performer (top quartile)
MIPS Final Score
94.6267/100
vs 83.1 national avg · 2023 performance year

MIPS final score (General Practice Physician) — 94.6267/100 vs national avg 83.1

0%100%National avg83%94.6%
MIPS final score (General Practice Physician) — 94.6267/100 vs national avg 83.1

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).

YONG HWAN KWON, M.D appears in the CMS NPPES registry as a General Practice Physician provider holding M.D credentials at 400 W MINERAL KING AVE, VISALIA, CA, 93291, with a listed phone of (559) 624-5218. NPI 1265819163 was issued on 04/29/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KWON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 666 prescription claims written by this provider, covering 381 Medicare beneficiaries and totaling roughly $10K in drug spend, with an opioid prescribing rate of 4.1%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.6267/100 for the 2023 performance year (Quality 76.6789, Cost 97.1443), compared with the national average of 83.1.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

400 W MINERAL KING AVE
VISALIA, CA 93291

Provider Details

NPI 1265819163
Specialty General Practice Physician
Credentials M.D
Gender Male
NPI Issued 04/29/2015

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

94.6267
Final Score
Avg: 83.1
76.6789
Quality
97.1443
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where YONG HWAN KWON, M.D 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.

MEDAMERICA PHYSICIAN SOLUTIONS PC
REDLANDS, CA

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 YONG HWAN KWON, M.D. Source: openpaymentsdata.cms.gov.

Total received

$13

Largest payer

Organogenesis 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.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to YONG HWAN KWON, M.D. To verify YONG HWAN KWON, M.D's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

666
Total Claims
$10K
Total Drug Cost
381
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
671
Total Day Supply
8,678
Generic Drug Cost
$6K
Opioid Claims
27 (4.1% rate)
Antibiotic Claims
161

Patient Demographics

Average Patient Age
74.8 years
Avg HCC Risk Score
2.28
Gender Split
68% female / 32% male
Age Distribution
<65: 46, 65-74: 145, 75-84: 119, 85+: 71

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What YONG HWAN KWON, M.D prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Cephalexin
72
Ibuprofen
63
Famotidine
60
Ondansetron Odt
Ondansetron
54
Prednisone
36
Amlodipine Besylate
30
Albuterol Sulfate Hfa
Albuterol Sulfate
24
Cyclobenzaprine Hcl
21
Furosemide
21
Metoclopramide Hcl
20

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

General Practice Physician Overview

How YONG HWAN KWON, M.D fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

YONG HWAN KWON, M.D's 666 claims are below the specialty average of 2,872.

Nearby General Practice Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as KWON.

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is YONG HWAN KWON, M.D's specialty?
YONG HWAN KWON, M.D specializes in General Practice Physician and practices in VISALIA, California. Credentials: M.D.
How much does YONG HWAN KWON, M.D prescribe under Medicare Part D?
In 2023, YONG HWAN KWON, M.D wrote 666 Medicare Part D claims totaling $10K in drug costs for 381 beneficiaries.
What is YONG HWAN KWON, M.D's Medicare quality score?
YONG HWAN KWON, M.D has a CMS MIPS Final Score of 94.6267/100 (Quality: 76.6789, Cost: 97.1443). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is YONG HWAN KWON, M.D located?
YONG HWAN KWON, M.D is located at 400 W MINERAL KING AVE, VISALIA, CA, 93291. Phone: (559) 624-5218.
What is YONG HWAN KWON, M.D's NPI number?
YONG HWAN KWON, M.D's National Provider Identifier (NPI) is 1265819163, issued on 04/29/2015.
Does YONG HWAN KWON, M.D prescribe opioids?
Yes, YONG HWAN KWON, M.D had 27 opioid claims in 2023 with an opioid prescribing rate of 4.1%.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does YONG HWAN KWON, M.D prescribe most often?
Based on 2023 Medicare Part D data, YONG HWAN KWON, M.D's most frequently prescribed drugs include Cephalexin, Ibuprofen, Famotidine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does YONG HWAN KWON, M.D accept Medicare?
YONG HWAN KWON, M.D appears in CMS Medicare data with 666 Part D claims and 381 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify YONG HWAN KWON, M.D's credentials?
YONG HWAN KWON, M.D's NPI is 1265819163 with credentials M.D. 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

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