DR. KWANGSUP K SHEEN (MD) – Emergency Medicine Physician, NPI 1063498228

DR. KWANGSUP K SHEEN (MD) is a healthcare provider. based in Peckville, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD056601L (PA). The NPI Number for DR. KWANGSUP K SHEEN (MD) is 1063498228

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. KWANGSUP K SHEEN (MD)
NPI
1063498228
Phone
(570) 383-5511
Address
1400 MAIN ST
Enumeration Date
20 December 2005
Last Update Date
5 August 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5705464209
Graduation Year
1986 (40 years ago)
PAC ID
6103845946
Group Practice PAC ID
1759301799
Professional Enrollment ID
I20051122000127
Address ID
PA177568828MU215XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,391 EMERGENCY MEDICINE in PA

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Provider Addresses for DR. KWANGSUP K SHEEN (MD)

  • Mid-Valley Hospital, 1400, Main Street, Blakely, Lackawanna County, Pennsylvania, 18452, United States

    PECKVILLE, PA 184522009

    Phone: (570) 383-5511

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-11-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051122000127IEmergency MedicinePATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making130118$0
99284Emergency department visit with moderate level of medical decision making7371$0
99283Emergency department visit with low level of medical decision making3838$0
99291Critical care, first 30-74 minutes2827$0
View full utilization report →

Insurance plans in this area (ZIP 18452)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759301799View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. KWANGSUP K SHEEN (MD) across health systems?
The NPI 1063498228 uniquely identifies DR. KWANGSUP K SHEEN (MD) in U.S. healthcare data.
Is DR. KWANGSUP K SHEEN (MD)'s NPI status active today?
Active status means DR. KWANGSUP K SHEEN (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. KWANGSUP K SHEEN (MD)?
NPPES ties DR. KWANGSUP K SHEEN (MD) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. KWANGSUP K SHEEN (MD) tied to Peckville, Pennsylvania?
If you are local to Peckville, Pennsylvania, DR. KWANGSUP K SHEEN (MD) may be relevant to your search.
Can I export DR. KWANGSUP K SHEEN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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