Bogum Kwon, PA
NPI 1710401484ActiveIndividual· Physician Assistant· Great Neck, NY
Physician Assistant (PA) with Aesthetic Plastic Surgery PC, practicing in Great Neck, New York. Part D covered 139 prescriptions written in 2024, 98% of them generic. Davol Inc. was the largest of 2 companies reporting payments in 2024, $181.36 in all, mostly food and beverage. Lists North Shore University Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1710401484 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Aug 3, 2017 |
| Last updated in NPPES | Jul 9, 2025 |
| Certified by provider | Jul 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 021238 | NY |
| Physician Assistant | 363A00000X | — | — |
| Physician Assistant, Surgical | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 139 · 139 30-day fills |
|---|---|
| Patients | 82 |
| Total drug cost | $945.54 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Aesthetic Plastic Surgery PCGreat Neck, NY · 10 clinicians
Hospital affiliations
- North Shore University HospitalManhasset, NY
- Northwell Hospital Glen CoveGlen Cove, NY
- St Francis Hospital - the Heart CenterRoslyn, NY
Industry payments (Open Payments)
- 2024$181.36 · 2 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Davol Inc. | $150.39 | 1 |
| Solventum Corporation | $30.97 | 1 |
What the 2024 payments were for
- Food and Beverage$181.36 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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