CHARLOTTE Y KIM M.D. NPI 1013079649
Radiology - Radiation Oncology in Santa Cruz, CA

About CHARLOTTE Y KIM M.D.

Charlotte Kim is a provider established in Santa Cruz, California and her medical specialization is Radiology with a focus in radiation oncology with more than 30 years of experience. She graduated from Stanford University School Of Medicine in 1993. The NPI number of Charlotte Kim is 1013079649 and was assigned on December 2006. The practitioner's primary taxonomy code is 2085R0001X with license number 00G801580 (CA). The provider is registered as an individual and her NPI record was last updated October 2022.

NPI
1013079649
Provider Name CHARLOTTE Y KIM M.D.
Location Address1575 SOQUEL DR SANTA CRUZ, CA 95065
Location Phone(831) 462-3050
Mailing Address4304 BOWLINE CT SOQUEL, CA 95073
GenderFemale
NPI Entity TypeIndividual
Medical School NameSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1993
Is Sole Proprietor?No
Enumeration Date12-13-2006
Last Update Date10-21-2022

Charlotte 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.

Charlotte 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 she has hospital affiliations with Dominican Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 60.5, 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 following quality measures were reported for this provider: implementation of formal quality improvement methods, practice changes, or other practice improvement processes, medication reconciliation, patient-specific education, provide patient access, security risk analysis and use of patient safety tools.

The typical physician office visit costs for Medicare beneficiaries in this area are: $48.33 for a new patient copayment and $20.17 for an established patient copayment.



Primary Taxonomy

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.

Taxonomy Code2085R0001X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationRadiation Oncology
License No.00G801580
License StateCA
Taxonomy DescriptionA radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

CHARLOTTE Y KIM M.D.
1575 SOQUEL DR
SANTA CRUZ, CA
ZIP 95065
Phone: (831) 462-3050

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Mailing Address

CHARLOTTE Y KIM M.D.
4304 BOWLINE CT
SOQUEL, CA
ZIP 95073
Phone:


Location Map

PECOS Enrollment and Medicare Participation Status

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 ID1355449356
PECOS Enrollment IDI20070613000828
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 95065 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99205
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$64.81 $193.34 $193.34
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.2 $48.33 $48.33
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
$20.89 $158.79 $80.68
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.22 $39.69 $20.17

* 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% 72.4
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% 0
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% N/A
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 - 60.5
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.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Implementation of formal quality improvement methods, practice changes, or other practice improvement processesYesN/A
Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data.
Medication Reconciliation 92% 65
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 1% 72
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Provide Patient Access 1% 72
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Use of Patient Safety ToolsYesN/A
Use of tools that assist specialty practices in tracking specific measures that are meaningful to their practice, such as use of a surgical risk calculator, evidence based protocols such as Enhanced Recovery After Surgery (ERAS) protocols, the CDC Guide for Infection Prevention for Outpatient Settings, (https://www.cdc.gov/hai/settings/outpatient/outpatient-care-guidelines.html), predictive algorithms, or other such tools.

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.

  • 443Radiation treatment management, 5 treatments (HCPCS:77427)
  • 333Calculation of radiation therapy dose (HCPCS:77300)
  • 308Radiation treatment devices, design and construction, complex (HCPCS:77334)
  • 157Management of radiation therapy, simulation, complex (HCPCS:77290)
  • 12Management of radiation therapy, complex (HCPCS:77263)

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
00G801580MEDICAID (05)CA

NPI Validation Check Digit Calculation


The following table explains the step by step 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.
1013079649
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023071868
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 8 + 6 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1013079649 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871586610 ROBERT K ALLEN MD
Individual
Colon & Rectal Surgery1575 SOQUEL DR
SANTA CRUZ, CA 95065
(831) 479-3772
1245277714DR. JOYDIP BHATTACHARYA D.O
Individual
Psychiatry & Neurology (Neurology)1575 SOQUEL DR SUITE B
SANTA CRUZ, CA 95065
(831) 454-0599
1861590382 SURINDRA N MITRUKA MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)1575 SOQUEL DR SUITE C
SANTA CRUZ, CA 95065
(831) 458-6288
1932260569 EDMUND L SACKS M.D.
Individual
Radiology (Radiation Oncology)1575 SOQUEL DR
SANTA CRUZ, CA 95065
(831) 462-3050
1073780011MONTEREY BAY UROLOGY ASSOCIATES
Organization
Urology1575 SOQUEL DR
SANTA CRUZ, CA 95065
(831) 476-2626
1508095894INNOVATIVE SPINE SURGERY
Organization
Orthopaedic Surgery1575 SOQUEL DR B
SANTA CRUZ, CA 95065
(831) 464-6900
1619264363SURINDRA N. MITRUKA, M.D. A MEDICAL CORPORATION
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)1575 SOQUEL DR SUITE #C
SANTA CRUZ, CA 95065
(831) 458-6288
1720472616MR. RYAN J SCHMITT PA-C
Individual
Physician Assistant (Surgical)1575 SOQUEL DR SUITE C
SANTA CRUZ, CA 95065
(831) 458-6288
1306988381SANTA CRUZ RADIATION ONCOLOGY MEDICAL GROUP, INCORPORATED
Organization
Radiology (Radiation Oncology)1575 SOQUEL DR SUITE 100
SANTA CRUZ, CA 95065
(831) 462-3050
1821145749 DANIEL G MANION PA
Individual
Physician Assistant1575 SOQUEL DR STE C
SANTA CRUZ, CA 95065
(650) 934-3546
1457023681 GRACE TANNACI NP
Individual
Nurse Practitioner1575 SOQUEL DR
SANTA CRUZ, CA 95065
(831) 458-6288
1720140353 JAY A MEISEL M.D.
Individual
Radiology (Radiation Oncology)1575 SOQUEL DR
SANTA CRUZ, CA 95065
(831) 462-3050

Frequently Asked Questions

What is Charlotte Kim M.D. NPI number?

The NPI number assigned to Charlotte Kim M.D. is 1013079649, registered as an "individual" on December 13, 2006

Where is Charlotte Kim M.D. located?

The provider is located at 1575 Soquel Dr Santa Cruz, Ca 95065 and the phone number is (831) 462-3050

Which is Charlotte Kim M.D. specialty?

The provider's speciality is Radiology with a focus in Radiation Oncology

How many years of experience does Charlotte Kim M.D. have?

The provider has more than 30 years of experience. She graduated from Stanford University School Of Medicine in 1993.

What insurance does Charlotte Kim M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Charlotte Kim M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.

How much is a visit to Charlotte Kim M.D.?

Medicare beneficiaries should expect a typical cost of $193.34 with an average copayment of $48.33 for new patient appointments. Established patients should expect a typical charge of $80.68 and an average copayment of 20.17. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Charlotte Kim M.D.?

The most common procedures or services performed by this practitioner are: Radiation treatment management, 5 treatments, Calculation of radiation therapy dose, Radiation treatment devices, design and construction, complex, Management of radiation therapy, simulation, complex and Management of radiation therapy, complex.

How do I update my NPI information?

The NPI record of Charlotte Kim M.D. was last updated on December 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]