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JAMES KIM M.D.
NPI 1073995486
Internal Medicine in Fort Drum, NY

Active since June 22, 2015PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
USA MEDDAC, 11050 MT. BELVEDERE BLVD, FORT DRUM, NY 13602(315) 772-2964 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2021, Oct 30, 2019 (2 updates tracked since 2019).

About James Kim M.d. NPPES

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

JAMES KIM M.D. (NPI 1073995486) is an individual internal medicine provider in Fort Drum, New York, licensed in Nebraska (30018) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of Loma Linda University School Of Medicine (2015).

NPPES Registry Identity

NPI1073995486
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES KIMCredential: M.D.
Location AddressUSA MEDDAC, 11050 MT. BELVEDERE BLVDFort Drum, NY 13602-5438
Mailing Address1 Jarrett White Rd, Tripler Army Medical CenterTripler Army Medical Center, HI 96859-5001
Phone(315) 772-2964
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2015
Enumeration DateJune 22, 2015
Last NPPES UpdateDecember 16, 20212 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1073995486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NE · 30018
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
USA MEDDAC, Fort Drum, NY 13602
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

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

James 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 ID3779959192
PECOS Enrollment IDI20221026000613
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 Reassignments

4

Medicare enrollment records show James Kim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Athol Memorial Hospital Incorporated
205 mi
Critical Access
2033 MAIN STREET
Athol, MA 01331
  • Reassigned Medicare billing, Massachusetts enrollment
  • 324 clinicians in this Medicare group
NPI 1336120047 (978) 249-3511
Monadnock Community Hospital
207 mi
Critical Access
452 OLD STREET RD
Peterborough, NH 03458
  • Reassigned Medicare billing, New Hampshire enrollment
  • 68 clinicians in this Medicare group
NPI 1881676104 (603) 924-7191
Henry Heywood Memorial Hospital
215 mi
Hospitalist
242 GREEN ST
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • 344 clinicians in this Medicare group
NPI 1205448701 (978) 630-6944
York Hospital
263 mi
General Acute Care Hospital
15 HOSPITAL DR
York, ME 03909
  • Reassigned Medicare billing, Maine enrollment
  • 347 clinicians in this Medicare group
NPI 1376528398 (207) 361-2398

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 7

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
769 services307 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
209 services196 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
61 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
51 services50 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
40 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
21 services16 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Athol Memorial Hospital

Critical Access Hospitals · Athol, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221303
Location2033 Main StreetAthol, MA 01331 · Worcester County
Emergency services

Monadnock Community Hospital

Critical Access Hospitals · Peterborough, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301309
Location452 Old Street RoadPeterborough, NH 03458 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13602 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

BAILEY MOORHEAD BEARDSLEY DMD
Dentist (Oral and Maxillofacial Surgery)
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-8891
MR. JEFFREY MORGAN COX LICSW
Social Worker
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FT DRUM, NY 13602
Jefferson County (315) 921-9000
MR. KENNETH HERBERT THOMAS JR. CASAC, LPC
Counselor (Addiction (Substance Use Disorder))
USA MEDDAC, 11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-8801
DR. BRIDGET MATSAS MD
Emergency Medicine
USA MEDDAC, 11050 MT. BELVEDERE BLVD.
FORT DRUM, NY 13602
Jefferson County (315) 772-0215
JUSTIN DAVID RADO PHYSICIAN ASSISTANT
Physician Assistant
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-6214
ANGELA MATTHEWS LCSW
Social Worker
USA MEDDAC, 11050 MT. BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 774-0770
VANIA MA MD
General Practice
USA MEDDAC, 11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-7059
MELISSA L REYNOLDS FNP
Nurse Practitioner (Primary Care)
USA MEDDAC, 11050 MT. BELVEDERE BLVD.
FORT DRUM, NY 13602
Jefferson County (315) 772-2778

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 James Kim's NPI number?

The NPI number for James Kim is 1073995486. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is James Kim located?

James Kim practices at Usa Meddac 11050 Mt. Belvedere Blvd, Fort Drum, NY 13602. The listed phone number is (315) 772-2964.

What is James Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Kim enrolled in Medicare?

Yes. James 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 organizations bill Medicare for James Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Kim reassigns Medicare benefits to 4 organizations: Athol Memorial Hospital Incorporated (Athol, MA), Monadnock Community Hospital (Peterborough, NH), Henry Heywood Memorial Hospital (Gardner, MA) and York Hospital (York, ME). Each 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 James Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Kim accept?

Health plans from Taro Health list James Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Kim affiliated with any hospitals?

According to CMS data, James Kim is affiliated with Heywood Hospital, Umass Memorial Medical Center/University Campus, St Vincent Hospital, Athol Memorial Hospital and Monadnock Community Hospital.

When was this NPI record last updated?

The NPPES record for James Kim was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.