SUN IK KIM MD
NPI 1093738932
Urology in San Bernardino, CA

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
489 E 21ST ST, SAN BERNARDINO, CA 92404(909) 882-2973(909) 882-2681 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sun Ik Kim Md NPPES

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

SUN IK KIM MD (NPI 1093738932) is an individual urology provider in San Bernardino, California, licensed in California (A69380) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (1996).

NPPES Registry Identity

NPI1093738932
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSUN IK KIMCredential: MD
Location Address489 E 21ST STSan Bernardino, CA 92404-4816
Mailing Address489 E 21st StSan Bernardino, CA 92404-4816 · (909) 882-2973 · Fax (909) 882-2681
Fax(909) 882-2681
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1996
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1093738932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in CA · A69380
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
489 E 21ST ST, San Bernardino, CA 92404

Other Identifiers 4

Medicaid0A693801CA
Other00A693801CA · Blue Cross & Blue Shield
Medicare UPINH70964CA
Medicare ID-Type Unspecified00A693801CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sun Ik Kim Md 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 ID547280653
PECOS Enrollment IDI20051205000607
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 20

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,587 services812 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
335 services41 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
229 services186 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
180 services45 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
170 services170 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
132 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92404 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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
Quality100
Improvement Activities40
Cost100

Reported Quality Measures

Advance Care Plan
100%2,060 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
100%475 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%6,525 patients5/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
100%365 patients5/55-star benchmark: 100%
Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
100%28 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers28 claims3,109 services$1.36 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers17 claims1,710 services$5.99 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 6

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

Urology
489 E 21ST ST
SAN BERNARDINO, CA 92404
Urology
489 E 21ST ST
SAN BERNARDINO, CA 92404
Urology
489 E 21ST ST
SAN BERNARDINO, CA 92404
Urology
489 E 21ST ST
SAN BERNARDINO, CA 92404
Urology
489 E 21ST ST
SAN BERNARDINO, CA 92404
Urology
489 E 21ST ST
SAN BERNARDINO, CA 92404

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 Sun Kim's NPI number?

The NPI number for Sun Kim is 1093738932. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Sun Kim located?

Sun Kim practices at 489 E 21st St, San Bernardino, CA 92404. The listed phone number is (909) 882-2973.

What is Sun Kim's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Sun Kim enrolled in Medicare?

Yes. Sun 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.

When was this NPI record last updated?

The NPPES record for Sun Kim was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.