SAM EUN KIM M.D.
NPI 1093987885
Internal Medicine in Odessa, TX

Active since April 01, 2008PECOS EnrolledAccepts Medicare Assignment
8050 E HIGHWAY 191, STE 200, ODESSA, TX 79765(432) 337-5411(432) 561-5014 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2019, Feb 24, 2017 (2 updates tracked since 2017).

About Sam Eun Kim M.d. NPPES

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

SAM EUN KIM M.D. (NPI 1093987885) is an individual internal medicine provider in Odessa, Texas, licensed in Texas (N0891) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Medical Center Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1093987885
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSAM EUN KIMCredential: M.D.
Location Address8050 E HIGHWAY 191, STE 200Odessa, TX 79765-8613
Mailing AddressPo Box 2129Odessa, TX 79760-2129 · (432) 337-5411 · Fax (432) 561-5014
Fax(432) 561-5014
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 1, 2008
Last NPPES UpdateJuly 12, 20192 updates tracked since enumeration
NPI 1093987885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · N0891
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.
8050 E HIGHWAY 191, Odessa, TX 79765

Other Identifiers 1

Medicaid199366903TX

Accepted Insurance

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

Sam Eun 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 ID8820158702
PECOS Enrollment IDI20081121000505
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 17

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.
1,449 services406 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.
852 services125 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
744 services117 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
568 services165 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
290 services290 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
164 services61 patients

Hospital Affiliations CMS Care Compare 2

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

Medical Center Hospital

Acute Care Hospitals · Odessa, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450132
Location500 W 4th StreetOdessa, TX 79761 · Ector County
Emergency services Birthing friendly

Midland Memorial Hospital

Acute Care Hospitals · Midland, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450133
Location400 Rosalind Redfern Grover ParkwayMidland, TX 79701 · Midland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79765 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 $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers43 claims189 services$5.59 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers16 claims25 services$1.10 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers12 claims12 services$94.44 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers11 claims58 services$2.71 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers78 claims78 services$16.38 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$919.01 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 14

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

Internal Medicine
8050 E HIGHWAY 191, SUITE 200
ODESSA, TX 79765
Family Medicine
8050 E HIGHWAY 191, SUITE 104
ODESSA, TX 79765
Neurological Surgery
8050 E HIGHWAY 191, STE 203
ODESSA, TX 79765
Psychologist (Clinical)
8050 E HIGHWAY 191, SUITE 206
ODESSA, TX 79765
Nurse Practitioner (Family)
8050 E HIGHWAY 191
ODESSA, TX 79765
Internal Medicine
8050 E HIGHWAY 191, SUITE 200
ODESSA, TX 79765
Psychologist (Clinical)
8050 E HIGHWAY 191, SUITE 206
ODESSA, TX 79765
Internal Medicine
8050 E HIGHWAY 191, SUITE 200
ODESSA, TX 79765

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 Sam Eun Kim's NPI number?

The NPI number for Sam Eun Kim is 1093987885. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Where is Sam Eun Kim located?

Sam Eun Kim practices at 8050 E Highway 191 Ste 200, Odessa, TX 79765. The listed phone number is (432) 337-5411.

What is Sam Eun Kim's specialty?

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

Is Sam Eun Kim enrolled in Medicare?

Yes. Sam Eun 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.

What insurance does Sam Eun Kim accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Sam Eun 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 Sam Eun Kim affiliated with any hospitals?

According to CMS data, Sam Eun Kim is affiliated with Medical Center Hospital and Midland Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sam Eun Kim was last updated on July 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.