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ERNEST SUNG KIM MD
NPI 1124414925
Family Medicine - Sports Medicine in San Diego, CA

Active since April 09, 2015PECOS EnrolledAccepts Medicare Assignment
73.62/100
CMS Quality Rating
4094 4TH AVE, SAN DIEGO, CA 92103(619) 515-2545(619) 501-9645 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 18, 2021, Jan 29, 2020, Aug 3, 2018 and 1 more (4 updates tracked since 2016).

About Ernest Sung Kim Md NPPES

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

ERNEST SUNG KIM MD (NPI 1124414925) is an individual sports medicine provider in San Diego, California, licensed in California (A156221) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1124414925
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameERNEST SUNG KIMCredential: MD
Location Address4094 4TH AVESan Diego, CA 92103-2143
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300 · Fax (619) 269-0674
Phone(619) 515-2545
Fax(619) 501-9645
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 9, 2015
Last NPPES UpdateMay 18, 20214 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1124414925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in CA · A156221
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
4094 4TH AVE, San Diego, CA 92103
Open in Google Maps ↗

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

Ernest Sung 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 ID9739481094
PECOS Enrollment IDI20190131002130
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 Reassignment

Medicare enrollment records show Ernest Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sharp Rees-Stealy Medical Group, Inc
6.3 mi
Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 clinicians in this Medicare group
NPI 1285616177 (858) 262-6666

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 8

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.

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.
475 services60 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.
110 services73 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
105 services49 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.
95 services67 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.
31 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

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.

ELENA HAPKE PT
Physical Therapist
4094 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 515-2545
JOEL FRANCIS TRAMBLEY MD
Internal Medicine
4094 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 515-2545
DR. JOE BENJAMIN FLORES MD
Family Medicine
4094 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 515-2545
DR. MICHAEL JOSEPH EVERTON M.D.
Radiology (Diagnostic Radiology)
4094 4TH AVE, SUITE 200, MC 0834
SAN DIEGO, CA 92103
San Diego County (312) 282-2638
KAYLA R TARRANT ASW
Social Worker (Clinical)
4094 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 515-2545
JENNIFER SAGUN ASUNCION LCSW
Social Worker (Clinical)
4094 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 515-2545
KAITLYN MAHONEY DPT
Physical Therapist
4094 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 515-2300
DIANA ELENA BORREGO
Nurse Practitioner (Psychiatric/Mental Health)
4094 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 515-2545

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 Ernest Kim's NPI number?

The NPI number for Ernest Kim is 1124414925. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Where is Ernest Kim located?

Ernest Kim practices at 4094 4th Ave, San Diego, CA 92103. The listed phone number is (619) 515-2545.

What is Ernest Kim's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Ernest Kim enrolled in Medicare?

Yes. Ernest 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 organization bills Medicare for Ernest Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ernest Kim reassigns Medicare benefits to Sharp Rees-Stealy Medical Group, Inc (San Diego, CA). The 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 Ernest Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ernest Kim was last updated on May 18, 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.