SCOTT SANG WON KIM M.D.
NPI 1164650461
Pain Medicine - Interventional Pain Medicine in Greenwood, IN

Q: What is Scott Kim's NPI number?

The NPI number for Scott Kim is 1164650461. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Q: What is Scott Kim's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Q: When was this NPI record last updated?

The NPPES record for Scott Kim was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since June 24, 2009PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

533 E COUNTY LINE RD, SUITE 201, GREENWOOD, IN 46143(317) 706-7246(317) 706-3419 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 18, 2025, Jan 25, 2023, Nov 13, 2018 (3 updates tracked since 2018).

On this page

About Scott Sang Won Kim M.d. NPPES

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

SCOTT SANG WON KIM M.D. (NPI 1164650461) is an individual interventional pain medicine provider in Greenwood, Indiana, licensed in Indiana (01077832A) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of University Of Maryland School Of Medicine (2015).

NPPES Registry Identity

NPI1164650461

Entity TypeIndividualMale

Primary Taxonomy208VP0014X

Provider Legal NameSCOTT SANG WON KIMCredential: M.D.

Location Address533 E COUNTY LINE RD, SUITE 201Greenwood, IN 46143-1073

Mailing Address8805 N Meridian StIndianapolis, IN 46260-2760 · (317) 706-7246 · Fax (317) 706-3417

Phone(317) 706-7246

Fax(317) 706-3419

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2015

Enumeration DateJune 24, 2009

Last NPPES UpdateNovember 18, 20253 updates tracked since enumeration

NPPES CertifiedNovember 18, 2025

✔ NPI 1164650461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in IN · 01077832A

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License MD043623 (DC), 0101255306 (VA), 01077832A (IN)

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License D0077042 (MD)

533 E COUNTY LINE RD, Greenwood, IN 46143

Open in Google Maps ↗

Other Identifiers 1

Medicaid201410470IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Scott Sang Won 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 ID8123242252

PECOS Enrollment IDI20161206001483

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

Medicare enrollment records show Scott Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Center For Southside Surgery, LLC

Same address

Ambulatory Surgical

533 E COUNTY LINE RD, SUITE 201
Greenwood, IN 46143

Reassigned Medicare billing, Indiana enrollment
4 clinicians in this Medicare group

NPI 1003292483 (317) 706-7246

Center For Special Surgery LLC

20 mi

Ambulatory Surgical

8805 N MERIDIAN ST
Indianapolis, IN 46260

Reassigned Medicare billing, Indiana enrollment
4 clinicians in this Medicare group

NPI 1538195169 (317) 706-7246

Shadeland Anesthesia & Pain Associates Inc.

20 mi

Interventional Pain Medicine

8805 N MERIDIAN ST
Indianapolis, IN 46260

Reassigned Medicare billing, Indiana enrollment
52 clinicians in this Medicare group

NPI 1477589000 (317) 706-7246

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 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.

1,055 services243 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.

97 services72 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

87 services87 patients

Insertion of spinal neurostimulator electrode array through skin 63650

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

40 services14 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

36 services20 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

35 services20 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

34 services17 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

30 services24 patients

Electronic analysis and reprogramming of spinal canal drug infusion pump 62368

This procedure involves the use of technology to assess and adjust a medication pump, implanted near the spine. The pump delivers precise doses of medication directly into the spinal canal to manage pain or spasticity. The reprogramming ensures optimal treatment.

30 services11 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

29 services22 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

29 services22 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

28 services19 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.

21 services16 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

20 services12 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

17 services16 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

13 services13 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150128

Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County

Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150162

Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46143 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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.

CENTER FOR SOUTHSIDE SURGERY, LLC

Clinic/Center (Ambulatory Surgical)

533 E COUNTY LINE RD, SUITE 201
GREENWOOD, IN 46143

Johnson County (317) 706-7246

ROBERT I. PRINCE MD

Anesthesiology (Pain Medicine)

533 E COUNTY LINE RD, SUITE 201
GREENWOOD, IN 46143

Johnson County (317) 706-7246

HAMILTON FACIAL PLASTIC SURGERY, PC

Plastic Surgery

533 E COUNTY LINE RD, STE 104
GREENWOOD, IN 46143

Johnson County (317) 859-3810

BRITTANY Y. SIMPSON

Family Medicine

533 E COUNTY LINE RD
GREENWOOD, IN 46143

Johnson County (317) 957-9050

TESSA M ASDELL MD

Obstetrics & Gynecology

533 E COUNTY LINE RD, SUITE 102
GREENWOOD, IN 46143

Johnson County (317) 497-6626

ASSOCIATES FOR WOMEN'S HEALTH

Obstetrics & Gynecology

533 E COUNTY LINE RD, SUITE 102
GREENWOOD, IN 46143

Johnson County (317) 859-6626

VIRGINIA H. SHAW MSN, NP

Nurse Practitioner (Women's Health)

533 E COUNTY LINE RD, SUITE 102
GREENWOOD, IN 46143

Johnson County (317) 497-6626

SOHEILA BOYER DO

Obstetrics & Gynecology

533 E COUNTY LINE RD, SUITE 102
GREENWOOD, IN 46143

Johnson County (317) 497-6626

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 Scott Kim's NPI number?

The NPI number for Scott Kim is 1164650461. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is Scott Kim located?

Scott Kim practices at 533 E County Line Rd Suite 201, Greenwood, IN 46143. The listed phone number is (317) 706-7246.

What is Scott Kim's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Scott Kim enrolled in Medicare?

Yes. Scott 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 organizations bill Medicare for Scott Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Kim reassigns Medicare benefits to 3 organizations: Center For Southside Surgery, LLC (Greenwood, IN), Center For Special Surgery LLC (Indianapolis, IN) and Shadeland Anesthesia & Pain Associates Inc. (Indianapolis, IN). 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 Scott Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Kim accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Scott 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 Scott Kim affiliated with any hospitals?

According to CMS data, Scott Kim is affiliated with Indiana University Health, Community Hospital South, Inc. and Franciscan Health Indianapolis.

When was this NPI record last updated?

The NPPES record for Scott Kim was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.