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KYUNG IN KIM MD
NPI 1114941531
Orthopaedic Surgery in Johnson City, NY

Active since July 27, 2006PECOS Enrolled
240 RIVERSIDE DR, JOHNSON CITY, NY 13790(607) 798-9356(607) 797-1707 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyung In Kim Md NPPES

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

KYUNG IN KIM MD (NPI 1114941531) is an individual orthopaedic surgery provider in Johnson City, New York, licensed in New York (A131465-1) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114941531
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKYUNG IN KIMCredential: MD
Location Address240 RIVERSIDE DRJohnson City, NY 13790-2732
Mailing Address240 Riverside DrJohnson City, NY 13790-2732 · (607) 798-9356 · Fax (607) 797-1707
Phone(607) 798-9356
Fax(607) 797-1707
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
✔ NPI 1114941531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · A131465-1
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
240 RIVERSIDE DR, Johnson City, NY 13790
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Other Identifiers 1

Medicaid00482375NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyung In Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

STEPHEN G FEDEROWICZ MD
Orthopaedic Surgery
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 798-9356
TYLER RATHMELL
Physician Assistant
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 798-9356
MARK VINCENT WILSON MD
Orthopaedic Surgery
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 798-9356
SCOTT F. HAGE O.D.
Optometrist
240 RIVERSIDE DR, SUITE ONE
JOHNSON CITY, NY 13790
Broome County (607) 729-2102
MS. MINDI ANNE DONAHUE P.A.
Physician Assistant
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 798-9356
DR. STEPHEN ALAN LISMAN PH.D.
Psychologist (Clinical)
240 RIVERSIDE DR, SUITE 2
JOHNSON CITY, NY 13790
Broome County (607) 797-1652
MRS. KARLI RENA CAMPBELL PA-C
Physician Assistant
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 798-9356
TIER ORTHOPEDIC ASSOCIATES, P.C.
Orthopaedic Surgery
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 798-9356

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 Kyung Kim's NPI number?

The NPI number for Kyung Kim is 1114941531. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Kyung Kim located?

Kyung Kim practices at 240 Riverside Dr, Johnson City, NY 13790. The listed phone number is (607) 798-9356.

What is Kyung Kim's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kyung Kim enrolled in Medicare?

Yes. Kyung Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyung Kim was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.