GINA PARK KWON (MD) – Dermatology Physician, NPI 1225263395
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
Provider Addresses for GINA PARK KWON (MD)
450 Broadway St
Pavilion C, MC 5334
Redwood City, CA 940633132
Phone: (650) 721-7190
Fax: (650) 721-3476
Type: Location
300 PASTEUR DR
STANFORD, CA 943052200
Phone: (650) 723-4000
Type: Location
Redwood City, Broadway, Redwood City, San Mateo County, California, 94063, United States
PAVILION C, MC 5334
REDWOOD CITY, CA 940633132
Phone: (650) 721-7190
Fax: (650) 721-3476
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-04-12 • Largest payer in this snapshot: PFIZER INC. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-07-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160713000350 | I | Dermatology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 327 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 112 | 90 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 106 | 89 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 75 | 48 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 49 | 46 | $0 |
Insurance plans in this area (ZIP 94063)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | CA | |
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Hematology, Medical Oncology | NY | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Neuropsychiatry, Neurology | CA |
Reviews
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