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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUN(SUSAN) W YIM DO
NPI 1104921063
Family Medicine in Charlottesville, VA

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
1149 SEMINOLE TRL, CHARLOTTESVILLE, VA 22901(434) 978-3998 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Feb 19, 2025, Sep 19, 2024 and 5 more (8 updates tracked since 2016).

About Sun(susan) W Yim Do NPPES

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

SUN(SUSAN) W YIM DO (NPI 1104921063) is an individual family medicine provider in Charlottesville, Virginia, licensed in Virginia (0102203731) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (1997).

NPPES Registry Identity

NPI1104921063
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUN(SUSAN) W YIMCredential: DO
Location Address1149 SEMINOLE TRLCharlottesville, VA 22901-2897
Mailing Address134 Elon RdMadison Heights, VA 24572-2536 · (434) 929-1400
Phone(434) 978-3998
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 1997
Enumeration DateSeptember 14, 2006
Last NPPES UpdateSeptember 29, 20268 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1104921063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0102203731
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1149 SEMINOLE TRL, Charlottesville, VA 22901
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Secondary Practice Locations 2

Location 1109 Clearview RdMadison Heights, VA 24572-2600 · Phone (434) 929-1400
Location 221054A Timberlake RdLynchburg, VA 24502-7327 · Phone (434) 239-0627

Other Identifiers 1

Other0533210001IL · Dmerc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar 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

Sun(susan) W Yim Do 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 ID8224007059
PECOS Enrollment IDI20140613000752
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 Sun(susan) Yim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medexpress Urgent Care, PC - Virginia
Same address
Urgent Care
1149 SEMINOLE TRL
Charlottesville, VA 22901
  • Reassigned Medicare billing, Virginia enrollment
  • 156 clinicians in this Medicare group
NPI 1497020747 (434) 978-3998
University Of Virginia Physicians Group
3.1 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000
Johnson Health Center
54 mi
Federally Qualified Health Center (FQHC)
109 CLEARVIEW RD
Madison Heights, VA 24572
  • Reassigned Medicare billing, Virginia enrollment
  • 63 clinicians in this Medicare group
NPI 1972858660 (434) 455-2480
Bon Secours Urgent Care LLC
62 mi
Urgent Care
9851 BROOK RD
Glen Allen, VA 23059
  • Reassigned Medicare billing, Virginia enrollment
  • 144 clinicians in this Medicare group
NPI 1265160501 (804) 893-8702

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 9

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.

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.
138 services138 patients
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.
82 services78 patients
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.
74 services72 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
72 services35 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
72 services71 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22901 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
50%303 patients3/55-star benchmark: 100%
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%262 patients
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
59%1,331 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
31%1,591 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
37%189 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%2,704 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
97%133 patients5/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
90%1,030 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
91%6,325 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
43%4,252 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
9%2,823 patients1/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
48%6,325 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
11%6,325 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
17%6,325 patients
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 5

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

KRISTEN ELIZABETH BIGGERS SAID M.D.
General Practice
1149 SEMINOLE TRL
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 978-3998
ANN M. MOREY MD
Family Medicine
1149 SEMINOLE TRL
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 978-3998
MEDEXPRESS URGENT CARE, PC - VIRGINIA
Clinic/Center (Urgent Care)
1149 SEMINOLE TRL
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 978-3998
JAMIE E. TRAPP R.N., N.P.
Nurse Practitioner
1149 SEMINOLE TRL
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 978-3998
MRS. KATHRYN B. REID NP
Nurse Practitioner (Family)
1149 SEMINOLE TRL
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 978-3998

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(susan) Yim's NPI number?

The NPI number for Sun(susan) Yim is 1104921063. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Sun(susan) Yim located?

Sun(susan) Yim practices at 1149 Seminole Trl, Charlottesville, VA 22901. The listed phone number is (434) 978-3998.

What is Sun(susan) Yim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sun(susan) Yim enrolled in Medicare?

Yes. Sun(susan) Yim 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 Sun(susan) Yim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sun(susan) Yim reassigns Medicare benefits to 4 organizations: Medexpress Urgent Care, PC - Virginia (Charlottesville, VA), University Of Virginia Physicians Group (Charlottesville, VA), Johnson Health Center (Madison Heights, VA) and Bon Secours Urgent Care LLC (Glen Allen, VA). 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 Sun(susan) Yim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sun(susan) Yim accept?

Health plans from Oscar Health list Sun(susan) Yim 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.

When was this NPI record last updated?

The NPPES record for Sun(susan) Yim was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.