DR. JOHN HO KIM MD
NPI 1194828517
Internal Medicine - Gastroenterology in Potsdam, NY

Q: What is John Kim's NPI number?

The NPI number for John Kim is 1194828517. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Q: What is John Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for John Kim was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment

95.38/100

CMS Quality Rating

50 LEROY ST, POTSDAM, NY 13676(315) 265-3300(315) 261-5607 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 3, 2021, Mar 31, 2021, Sep 6, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Dr. John Ho Kim Md NPPES

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

DR. JOHN HO KIM MD (NPI 1194828517) is an individual gastroenterology provider in Potsdam, New York, licensed in New York (192819) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Adirondack Medical Center - Saranac Lake, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194828517

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. JOHN HO KIMCredential: MD

Location Address50 LEROY STPotsdam, NY 13676-1786

Mailing Address50 Leroy StPotsdam, NY 13676-1786 · (315) 265-3300 · Fax (315) 261-5607

Phone(315) 265-3300

Fax(315) 261-5607

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateSeptember 7, 2006

Last NPPES UpdateNovember 3, 20214 updates tracked since enumeration

NPPES CertifiedNovember 3, 2021

✔ NPI 1194828517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in NY · 192819✔ Licensed in OH · 35.143541

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

50 LEROY ST, Potsdam, NY 13676

Open in Google Maps ↗

Secondary Practice Locations 2

Location 116 3rd St Ste AMalone, NY 12953-1367 · Phone (518) 481-2401

Location 210600 Montgomery RdMontgomery, OH 45242-4463 · Phone (513) 794-5600

Accepted Insurance

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

Dr. John Ho 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 ID5597951764

PECOS Enrollment IDI20101130000836

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 12

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 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.

161 services137 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

158 services156 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

157 services154 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

106 services105 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.

51 services50 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.

34 services34 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

33 services31 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.

31 services31 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

17 services17 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

12 services11 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

12 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Adirondack Medical Center - Saranac Lake

Acute Care Hospitals · Saranac Lake, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330079

Location2233 State Route 86, PO Box 471Saranac Lake, NY 12983 · Franklin County

Emergency services Birthing friendly

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330197

Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County

Emergency services Birthing friendly

Gouverneur Hospital

Critical Access Hospitals · Gouverneur, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331315

Location77 West Barney StreetGouverneur, NY 13642 · St. Lawrence County

Emergency services

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331321

Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County

Emergency services

Slhs Massena, Inc

Critical Access Hospitals · Massena, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331322

Location1 Hospital DriveMassena, NY 13662 · St. Lawrence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13676 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 $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

95.38/100

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

Scored through an Alternative Payment Model

Quality

81.26

Promoting Interoperability

99.17

Improvement Activities

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.

JULIE LYNN LAWLESS LCSW

Social Worker (Clinical)

50 LEROY ST
POTSDAM, NY 13676

St. Lawrence County (315) 265-3300

DR. KYLE FLINT PHARMD, RPH

Pharmacist

50 LEROY ST
POTSDAM, NY 13676

St. Lawrence County (315) 265-3300

HEATHER MACKINNON

Physician Assistant

50 LEROY ST
POTSDAM, NY 13676

St. Lawrence County (315) 265-3300

KARYN SULLIVAN PA

Emergency Medicine

50 LEROY ST
POTSDAM, NY 13676

St. Lawrence County (315) 782-2620

COREEN BOHL MSW, LCSW, ACHP-SW

Social Worker (Clinical)

50 LEROY ST
POTSDAM, NY 13676

St. Lawrence County (315) 265-3300

KELSEY MILLER

Pharmacist

50 LEROY ST
POTSDAM, NY 13676

St. Lawrence County (315) 261-5511

CHRISTINA KASHMER PA

Physician Assistant

50 LEROY ST
POTSDAM, NY 13676

St. Lawrence County (315) 265-3300

YASMEEN ZAIDI MS

Counselor (Mental Health)

50 LEROY ST
POTSDAM, NY 13676

St. Lawrence County (315) 265-3300

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 John Kim's NPI number?

The NPI number for John Kim is 1194828517. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is John Kim located?

John Kim practices at 50 Leroy St, Potsdam, NY 13676. The listed phone number is (315) 265-3300.

What is John Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Kim enrolled in Medicare?

Yes. John 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 John Kim accept?

Health plans from CareSource list John 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 John Kim affiliated with any hospitals?

According to CMS data, John Kim is affiliated with Adirondack Medical Center - Saranac Lake, Canton-Potsdam Hospital, Gouverneur Hospital, The University Of Vermont Health Network-Alice Hy and Slhs Massena, Inc.

When was this NPI record last updated?

The NPPES record for John Kim was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.