DR. DAE Y KIM M.D., PH.D NPI 1003000597

Urology in Tulsa, OK

NPI 1003000597 Individual Male Years of Experience 16 Urology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 89.9

NPI Profile for DR. DAE Y KIM M.D., PH.D

Dae Kim is a provider established in Tulsa, Oklahoma and his medical specialization is urology with more than 16 years of experience. He graduated from State University Of New York At Buffalo School Of Medicine in 2007. The NPI number of Dae Kim is 1003000597 and was assigned on August 2007. The practitioner's primary taxonomy code is 208800000X with license number 31577 (OK). The provider is registered as an individual and his NPI record was last updated 7 years ago.

Dae Kim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Dae Kim is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Hillcrest Medical Center, Hillcrest Hospital South, Muscogee (creek) Nation Medical Center, Oklahoma State University Medical Center and Hillcrest Hospital Henryetta.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.9, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $31.94 for a new patient copayment and $17.3 for an established patient copayment.

NPI

1003000597

Provider NameDR. DAE Y KIM M.D., PH.D
Provider Location Address1145 S UTICA AVE SUITE 202 TULSA, OK 74104
Provider Mailing Address1145 S UTICA AVE SUITE 202 TULSA, OK 74104
GenderMale
NPI Entity TypeIndividual
Medical School NameSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year2007
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-28-2007
Last Update Date07-15-2015


Primary Taxonomy

Taxonomy Code208800000X
ClassificationUrology
TypeAllopathic & Osteopathic Physicians
License No.31577
License StateOK
Taxonomy DescriptionA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Business Address

DR. DAE Y KIM M.D., PH.D
1145 S UTICA AVE
SUITE 202
TULSA, OK
ZIP 74104
Phone: (918) 579-3130
Fax: (918) 579-3139

Get Directions


Mailing Address

DR. DAE Y KIM M.D., PH.D
1145 S UTICA AVE
SUITE 202
TULSA, OK
ZIP 74104
Phone: (918) 579-3130
Fax: (918) 579-3139



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID4082848189
PECOS Enrollment IDI20150912000130
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 74104 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$54.97 $168.9 $127.76
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.74 $42.22 $31.94
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.8 $137.83 $69.21
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.2 $34.45 $17.3

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 93.1
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 82
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 68.4
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 89.9
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 48Urinalysis, manual test (HCPCS:81002)
  • 20Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • 15Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Dae Kim is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
HILLCREST MEDICAL CENTER1120 SOUTH UTICA AVENUE
TULSA, OK 74104
(918) 579-1000Acute Care Hospitals370001
HILLCREST HOSPITAL SOUTH8801 SOUTH 101ST EAST AVENUE
TULSA, OK 74133
(918) 294-4000Acute Care Hospitals370202
MUSCOGEE (CREEK) NATION MEDICAL CENTER1401 MORRIS DRIVE
OKMULGEE, OK 74447
(918) 756-4233Acute Care Hospitals370057
OKLAHOMA STATE UNIVERSITY MEDICAL CENTER744 WEST 9TH STREET
TULSA, OK 74127
(918) 599-1000Acute Care Hospitals370078
HILLCREST HOSPITAL HENRYETTA2401 W MAIN
HENRYETTA, OK 74437
(918) 650-1511Acute Care Hospitals370183

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
324649801 (MDACC)MEDICAID (05)TX
8EB319 (MDACC)OTHER (01)TXBCBS
312601YKQH (MDACC)MEDICARE PIN (08)TX

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003000597
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003000518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 0 + 5 + 1 + 8 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1003000597 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326028929DR. SUSAN D GREEN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1145 S UTICA AVE SUITE 365
TULSA, OK 74104
(405) 842-2061
1134199870MS. JULIA A SHIRK AU.D.
Individual
Audiologist1145 S UTICA AVE SUITE 302
TULSA, OK 74104
(918) 592-3737
1467422121DR. CAROL A LAMBERT AU.D.
Individual
Audiologist1145 S UTICA AVE SUITE 302
TULSA, OK 74104
(918) 592-3737
1205808847ANATOMIC PATHOLOGY SERVICES INC
Organization
Clinical Medical Laboratory1145 S UTICA AVE SUITE 367
TULSA, OK 74104
(918) 749-7964
1871562710DR. NICHOLAS DANIEL GOULD LMFT
Individual
Marriage & Family Therapist1145 S UTICA AVE SUITE 1013
TULSA, OK 74104
(918) 579-2935
1205883220DR. HAYSAM GHANNOUM MD
Individual
Internal Medicine1145 S UTICA AVE STE 1105
TULSA, OK 74104
(918) 579-5724
1750324844 SHASHI A HUSAIN M.D.
Individual
Specialist1145 S UTICA AVE SUITE 520
TULSA, OK 74104
(918) 587-5534
1457389454 DEBORAH NOBLE BAIRD MD
Individual
Pediatrics (Developmental - Behavioral Pediatrics)1145 S UTICA AVE SUITE 262
TULSA, OK 74104
(918) 579-3035
1780614396MR. THOMAS A HOFFMANN PHD
Individual
Psychologist (Counseling)1145 S UTICA AVE SUITE 364
TULSA, OK 74104
(918) 496-5195
1801811708 JONATHAN MARTIN ANTHONY MD
Individual
Anesthesiology1145 S UTICA AVE
TULSA, OK 74104
(918) 579-3646
1891711057HEARING SPECIALISTS OF TULSA, PLLC
Organization
Hearing Aid Equipment1145 S UTICA AVE SUITE 302
TULSA, OK 74104
(918) 592-3737
1114032539 PHILLIP RAY BERRY D.O.
Individual
Family Medicine (Adult Medicine)1145 S UTICA AVE SUITE 453
TULSA, OK 74104
(918) 596-7078
1124139126PAIN INSTITUTE OF TULSA, INC
Organization
Specialist1145 S UTICA AVE SUITE 364
TULSA, OK 74104
(918) 496-5195
1033291836SCOTT ROBISONS RX INC
Organization
Pharmacy (Community/Retail Pharmacy)1145 S UTICA AVE STE 18
TULSA, OK 74104
(918) 582-7144
1033269691BOARD OF REGENTS OF THE UNIVERSITY OF OKLHOAMA OU PHYSICIANS TULSA
Organization
Urology1145 S UTICA AVE STE 202
TULSA, OK 74104
(918) 579-3130
1659566370TULSA NEUROLOGY & HEADACHE CLINIC, INC
Organization
Specialist1145 S UTICA AVE SUITE 520
TULSA, OK 74104
(918) 587-5534
1033388921MRS. ROSE MARIE MARTINO OTR/L
Individual
Occupational Therapist1145 S UTICA AVE SUITE 262
TULSA, OK 74104
(918) 579-3035
1134393192 ROBERT CHARLES THOMPSON SLP
Individual
Speech-Language Pathologist1145 S UTICA AVE SUITE 262
TULSA, OK 74104
(918) 579-3035
1285899872 SHANNA ELAINE HAMPTON DO
Individual
Internal Medicine1145 S UTICA AVE #1105
TULSA, OK 74104
(918) 579-5749
1841599115MS. AMY S MCDONALD PA-C
Individual
Physician Assistant1145 S UTICA AVE #1105
TULSA, OK 74104
(918) 579-5781

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Dae Y Kim M.d., Ph.d is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.