KYONGSOOK KIM NP
NPI 1033181060
Nurse Practitioner - Gerontology in Washington, DC

Q: What is Kyongsook Kim's NPI number?

The NPI number for Kyongsook Kim is 1033181060. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Q: What is Kyongsook Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Kyongsook Kim was last updated on April 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 03, 2006PECOS Enrolled

100/100

CMS Quality Rating

1380 SOUTHERN AVE SE, WASHINGTON, DC 20032(202) 279-5880 Get Directions Write a Review

NPPES record last updated: April 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2023, Oct 11, 2022 (2 updates tracked since 2022).

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About Kyongsook Kim Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYONGSOOK KIM NP (NPI 1033181060) is an individual gerontology provider in Washington, District Of Columbia, licensed in District Of Columbia (RN962194) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033181060

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameKYONGSOOK KIMCredential: NP

Location Address1380 SOUTHERN AVE SEWashington, DC 20032-4623

Mailing Address18500 New Hampshire AveAshton, MD 20861-9788 · (240) 330-0999

Phone(202) 279-5880

Sole ProprietorYes

Enumeration DateFebruary 3, 2006

Last NPPES UpdateApril 8, 20232 updates tracked since enumeration

NPPES CertifiedApril 8, 2023

✔ NPI 1033181060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

Licenses✔ Licensed in DC · RN962194✔ Licensed in MD · R151075

1380 SOUTHERN AVE SE, Washington, DC 20032

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Other Identifiers 3

OtherN54833MD · Cds

Medicaid018733100DC

OtherR151075MD · Don

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyongsook Kim Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,298 services206 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

1,126 services191 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

85.22

Improvement Activities

Cost

91.55

Reported Quality Measures

Advance Care Plan

100%129 patients5/55-star benchmark: 100%

Coronary Artery Disease (CAD): Antiplatelet Therapy

100%42 patients5/55-star benchmark: 100%

Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management

100%77 patients

Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia

100%77 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

100%129 patients5/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims307 services$4.50 avg. paid by Medicare

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

DME-Hospital Beds · category DB000N

2 suppliers27 claims27 services$28.57 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers44 claims44 services$13.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLYN BOONE LEWIS HEALTH CARE CENTER INC

Skilled Nursing Facility