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MR. PETER K. KIM M.D.
NPI 1053534610
Psychiatry & Neurology - Neurology in Simi Valley, CA

Active since April 11, 2007PECOS EnrolledAccepts Medicare Assignment
93.04/100
CMS Quality Rating
1195 ROADRUNNER WAY, SIMI VALLEY, CA 93065(805) 579-8892(805) 579-8951 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Peter K. Kim M.d. NPPES

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

MR. PETER K. KIM M.D. (NPI 1053534610) is an individual neurology provider in Simi Valley, California, licensed in California (A67819) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (1997).

NPPES Registry Identity

NPI1053534610
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMR. PETER K. KIMCredential: M.D.
Location Address1195 ROADRUNNER WAYSimi Valley, CA 93065-0000
Mailing Address1195 Roadrunner WaySimi Valley, CA 93065-0000 · (805) 579-8892
Phone(805) 579-8892
Fax(805) 579-8951
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1997
Enumeration DateApril 11, 2007
Last NPPES UpdateFebruary 12, 2013
✔ NPI 1053534610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A67819
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Neuromuscular MedicineTaxonomy 2084N0008X · License A67819 (CA)
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License A67819 (CA)
1195 ROADRUNNER WAY, Simi Valley, CA 93065
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINH42518CA
Medicare PINWA67819ACA
Medicare ID-Type UnspecifiedA67819CA
Medicaid00A678190CA
Other609916600CA · Us Dept Of Labor Id Num

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Peter K. Kim M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466348537
PECOS Enrollment IDI20040225000674
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.

Medicare Billing Reassignment

Medicare enrollment records show Peter Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peter Kim MD Inc
Same address
Neurology
1195 ROADRUNNER WAY
Simi Valley, CA 93065
  • Reassigned Medicare billing, California enrollment
NPI 1760411946 (805) 579-8892

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
549 services324 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
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.
394 services394 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
322 services190 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
77 services76 patients
Nerve conduction, 5-6 studies 95909
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.
74 services74 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
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.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93065 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
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

93.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.26
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%1,076 patients1/55-star benchmark: 87%
Dementia: Cognitive Assessment
0%24 patients
Documentation of Current Medications in the Medical Record
97%2,719 patients4/55-star benchmark: 100%
e-Prescribing
100%634 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
35%1,826 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%2,719 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 84% · 617 patients
Patients screened: 84% · 617 patients
100%29 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%1,873 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 836 patients
Patients totalRate: 0% · 836 patients
0%836 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES

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

PETER KIM MD INC
Psychiatry & Neurology (Neurology)
1195 ROADRUNNER WAY
SIMI VALLEY, CA 93065
Ventura County (805) 579-8892

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Kim's NPI number?

The NPI number for Peter Kim is 1053534610. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Peter Kim located?

Peter Kim practices at 1195 Roadrunner Way, Simi Valley, CA 93065. The listed phone number is (805) 579-8892.

What is Peter Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Peter Kim enrolled in Medicare?

Yes. Peter Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Peter Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Kim reassigns Medicare benefits to Peter Kim MD Inc (Simi Valley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peter Kim was last updated on February 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.