DANIEL J KIM MD
NPI 1013147255
Physical Medicine & Rehabilitation in Columbus, OH

Medicare Participation & PECOS Enrollment Status

Daniel Kim is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Daniel 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• PECOS PAC ID: 3577799956

  What is the PECOS Associate Control ID?
  A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

• PECOS Enrollment ID: I20131112002094

  What is the Provider Enrollment ID?
  The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

• 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

• DME-Other DME (DE000N)

  Commode chair, mobile or stationary, with detachable arms (HCPCS:E0165)

  1 DME suppliers used 11 Medicare Claims 11 Services Paid

• DME-Hospital Beds (DB000N)

  Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)

  2 DME suppliers used 21 Medicare Claims 21 Services Paid

• DME-Other DME (DE000N)

  Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) (HCPCS:E0630)

  2 DME suppliers used 75 Medicare Claims 75 Services Paid

• DME-Other DME (DE000N)

  Patient lift, electric with seat or sling (HCPCS:E0635)

  2 DME suppliers used 21 Medicare Claims 21 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, tray, each (HCPCS:E0950)

  3 DME suppliers used 48 Medicare Claims 48 Services Paid

• DME-Wheelchairs (DD000N)

  Heel loop/holder, any type, with or without ankle strap, each (HCPCS:E0951)

  3 DME suppliers used 65 Medicare Claims 125 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each (HCPCS:E0953)

  2 DME suppliers used 38 Medicare Claims 72 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot (HCPCS:E0954)

  2 DME suppliers used 13 Medicare Claims 24 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each (HCPCS:E0955)

  5 DME suppliers used 85 Medicare Claims 85 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each (HCPCS:E0955)

  2 DME suppliers used 323 Medicare Claims 323 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each (HCPCS:E0956)

  5 DME suppliers used 69 Medicare Claims 130 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware (HCPCS:E0960)

  2 DME suppliers used 25 Medicare Claims 26 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, wheel lock brake extension (handle), each (HCPCS:E0961)

  2 DME suppliers used 40 Medicare Claims 79 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, anti-tipping device, each (HCPCS:E0971)

  4 DME suppliers used 86 Medicare Claims 152 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each (HCPCS:E0973)

  4 DME suppliers used 101 Medicare Claims 196 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, positioning belt/safety belt/pelvic strap, each (HCPCS:E0978)

  3 DME suppliers used 68 Medicare Claims 68 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, push-rim activated power assist system (HCPCS:E0986)

  4 DME suppliers used 191 Medicare Claims 191 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, power seating system, tilt only (HCPCS:E1002)

  3 DME suppliers used 16 Medicare Claims 16 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, power seating system, tilt only (HCPCS:E1002)

  1 DME suppliers used 15 Medicare Claims 15 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction (HCPCS:E1007)

  4 DME suppliers used 57 Medicare Claims 57 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each (HCPCS:E1012)

  4 DME suppliers used 62 Medicare Claims 62 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory (HCPCS:E1028)

  6 DME suppliers used 158 Medicare Claims 326 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory (HCPCS:E1028)

  3 DME suppliers used 538 Medicare Claims 676 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, ventilator tray, fixed (HCPCS:E1029)

  1 DME suppliers used 11 Medicare Claims 11 Services Paid

• DME-Wheelchairs (DD000N)

  Manual adult size wheelchair, includes tilt in space (HCPCS:E1161)

  2 DME suppliers used 305 Medicare Claims 305 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each (HCPCS:E1225)

  2 DME suppliers used 23 Medicare Claims 23 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches (HCPCS:E2203)

  2 DME suppliers used 14 Medicare Claims 14 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each (HCPCS:E2205)

  3 DME suppliers used 12 Medicare Claims 24 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each (HCPCS:E2206)

  4 DME suppliers used 17 Medicare Claims 30 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, pneumatic propulsion tire, any size, each (HCPCS:E2211)

  4 DME suppliers used 63 Medicare Claims 122 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each (HCPCS:E2213)

  3 DME suppliers used 63 Medicare Claims 125 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, foam caster tire, any size, each (HCPCS:E2219)

  5 DME suppliers used 12 Medicare Claims 23 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each (HCPCS:E2225)

  4 DME suppliers used 11 Medicare Claims 22 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware (HCPCS:E2231)

  2 DME suppliers used 37 Medicare Claims 37 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware (HCPCS:E2311)

  4 DME suppliers used 67 Medicare Claims 67 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each (HCPCS:E2313)

  4 DME suppliers used 57 Medicare Claims 57 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated (HCPCS:E2323)

  3 DME suppliers used 15 Medicare Claims 15 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) (HCPCS:E2359)

  2 DME suppliers used 22 Medicare Claims 44 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) (HCPCS:E2361)

  5 DME suppliers used 51 Medicare Claims 101 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) (HCPCS:E2363)

  5 DME suppliers used 32 Medicare Claims 64 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) (HCPCS:E2365)

  2 DME suppliers used 25 Medicare Claims 50 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each (HCPCS:E2366)

  2 DME suppliers used 15 Medicare Claims 15 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only (HCPCS:E2374)

  4 DME suppliers used 15 Medicare Claims 15 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue (HCPCS:E2377)

  4 DME suppliers used 55 Medicare Claims 55 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each (HCPCS:E2386)

  3 DME suppliers used 14 Medicare Claims 28 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each (HCPCS:E2392)

  5 DME suppliers used 28 Medicare Claims 84 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each (HCPCS:E2394)

  5 DME suppliers used 19 Medicare Claims 38 Services Paid

• DME-Wheelchairs (DD021N)

  General use wheelchair seat cushion, width less than 22 inches, any depth (HCPCS:E2601)

  3 DME suppliers used 37 Medicare Claims 37 Services Paid

• DME-Wheelchairs (DD021N)

  Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth (HCPCS:E2607)

  2 DME suppliers used 43 Medicare Claims 43 Services Paid

• DME-Wheelchairs (DD021N)

  Custom fabricated wheelchair seat cushion, any size (HCPCS:E2609)

  2 DME suppliers used 35 Medicare Claims 35 Services Paid

• DME-Wheelchairs (DD021N)

  General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware (HCPCS:E2611)

  2 DME suppliers used 36 Medicare Claims 36 Services Paid

• DME-Wheelchairs (DD021N)

  Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware (HCPCS:E2613)

  3 DME suppliers used 23 Medicare Claims 23 Services Paid

• DME-Wheelchairs (DD021N)

  Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware (HCPCS:E2615)

  4 DME suppliers used 20 Medicare Claims 20 Services Paid

• DME-Wheelchairs (DD021N)

  Custom fabricated wheelchair back cushion, any size, including any type mounting hardware (HCPCS:E2617)

  2 DME suppliers used 32 Medicare Claims 32 Services Paid

• DME-Wheelchairs (DD021N)

  Replacement cover for wheelchair seat cushion or back cushion, each (HCPCS:E2619)

  2 DME suppliers used 11 Medicare Claims 12 Services Paid

• DME-Wheelchairs (DD021N)

  Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware (HCPCS:E2620)

  2 DME suppliers used 45 Medicare Claims 45 Services Paid

• DME-Wheelchairs (DD021N)

  Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth (HCPCS:E2622)

  4 DME suppliers used 33 Medicare Claims 33 Services Paid

• DME-Wheelchairs (DD021N)

  Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth (HCPCS:E2624)

  7 DME suppliers used 48 Medicare Claims 48 Services Paid

• DME-Wheelchairs (DD000N)

  High strength, lightweight wheelchair (HCPCS:K0004)

  1 DME suppliers used 15 Medicare Claims 15 Services Paid

• DME-Wheelchairs (DD000N)

  Ultralightweight wheelchair (HCPCS:K0005)

  4 DME suppliers used 39 Medicare Claims 39 Services Paid

• DME-Wheelchairs (DD021N)

  Detachable, adjustable height armrest, upper portion, replacement only, each (HCPCS:K0018)

  3 DME suppliers used 15 Medicare Claims 26 Services Paid

• DME-Wheelchairs (DD021N)

  Arm pad, replacement only, each (HCPCS:K0019)

  4 DME suppliers used 55 Medicare Claims 98 Services Paid

• DME-Wheelchairs (DD021N)

  Leg strap, each (HCPCS:K0038)

  3 DME suppliers used 13 Medicare Claims 15 Services Paid

• DME-Wheelchairs (DD021N)

  Adjustable angle footplate, each (HCPCS:K0040)

  4 DME suppliers used 78 Medicare Claims 154 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair component or accessory, not otherwise specified (HCPCS:K0108)

  8 DME suppliers used 195 Medicare Claims 433 Services Paid

• DME-Wheelchairs (DD021N)

  Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)

  2 DME suppliers used 63 Medicare Claims 63 Services Paid

• DME-Other DME (DE000N)

  Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes (HCPCS:K0739)

  10 DME suppliers used 299 Medicare Claims 1183 Services Paid

• DME-Wheelchairs (DD009N)

  Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds (HCPCS:K0800)

  2 DME suppliers used 31 Medicare Claims 31 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds (HCPCS:K0822)

  2 DME suppliers used 11 Medicare Claims 11 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds (HCPCS:K0823)

  2 DME suppliers used 149 Medicare Claims 149 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds (HCPCS:K0825)

  2 DME suppliers used 31 Medicare Claims 31 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds (HCPCS:K0861)

  4 DME suppliers used 53 Medicare Claims 53 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 63 times for 61 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 359 times for 340 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 169 times for 169 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 11 times for 11 patients

Physician service required to establish and document the need for a power mobility device

This service involves your doctor assessing your mobility needs. They'll document your condition, verify if a power mobility device (like a motorized wheelchair) could improve your life quality, and provide the required medical records to insurance for coverage.

This service was performed 195 times for 193 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.31, 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 Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS 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.

• Final Score: 95.31 out of 100

  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 Score: 76.58

  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 Score: 100

  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 Score: 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 activities measure category compromises 15% providers final MPIS scores.
  
  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 Score: 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.

• Cost Score: 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.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Daniel Kim is affiliated with the following medical facilities:

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