DR. EUN JI KWON (M.D.) – Dermatopathology Physician, NPI 1780885491
Dermatopathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
Provider Addresses for DR. EUN JI KWON (M.D.)
14275, Midway Road, Addison, Dallas County, Texas, 75001, United States
SUITE 400
ADDISON, TX 750013614
Phone: (800) 942-3376
Fax: (610) 271-4245
Type: Mailing
1 CRANBERRY HL STE 105
LEXINGTON, MA 024217397
Phone: (800) 325-7284
Fax: (205) 579-9387
Type: Location
Midland Avenue, Purdys Grove, Port Chester, New York, 10580, United States
PORT CHESTER, NY 105734943
Phone: (914) 934-5800
Fax: (914) 934-9819
Type: Location
630 W 168TH ST # VC15-209
NEW YORK, NY 100323725
Phone: (212) 342-3980
Fax: (212) 927-9704
Type: Mailing
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: 2025-09-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20220127001946 | I | Pathology | NY | TBD |
| I20231109001189 | I | Pathology | TN | TBD |
| I20240725004011 | I | Pathology | MA | TBD |
| I20250910000773 | I | Dermatology | MI | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 3,630 | 2,570 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 495 | 192 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 342 | 313 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 236 | 202 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 92 | 84 | $0 |
Insurance plans in this area (ZIP 75001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MI | |
| Pathology, Dermatology, Pathology, Hematology/Oncology, Pathology | MI | |
| P A T H O L O G Y | WI | |
| Pathology, Dermatology | VA | |
| D E R M A T O L O G Y | MI | |
| Pathology, Dermatology | SC |
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