DAVID J KIM MD
NPI 1205194560
Pain Medicine - Interventional Pain Medicine in Cedar Park, TX
About David J Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID J KIM MD (NPI 1205194560) is an individual interventional pain medicine provider in Cedar Park, Texas, licensed in Texas (R1798) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Alexian Brothers Medical Center 1, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2012).
NPPES Registry Identity
Specialties & Licenses 4
Accepted 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
David J 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.
Medicare Billing Reassignments
2Medicare enrollment records show David Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cedar Park, TX 78613
- Reassigned Medicare billing, Texas enrollment
- 2 clinicians in this Medicare group
San Antonio, TX 78258
- Reassigned Medicare billing, Texas enrollment
- 27 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Alexian Brothers Medical Center 1
Acute Care Hospitals · Elk Grove Village, ILRound Rock Medical Center
Acute Care Hospitals · Round Rock, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CEDAR PARK, TX 78613
CEDAR PARK, TX 78613
CEDAR PARK, TX 78613
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 David Kim's NPI number?
The NPI number for David Kim is 1205194560. It was assigned to this individual provider in the NPPES registry on April 24, 2012.
Where is David Kim located?
David Kim practices at 200 Buttercup Creek Blvd Ste 115, Cedar Park, TX 78613. The listed phone number is (512) 777-1211.
What is David Kim's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is David Kim enrolled in Medicare?
Yes. David 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 David Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Kim reassigns Medicare benefits to 2 organizations: Skyline Medical PLLC (Cedar Park, TX) and Tricity Pain Associates PA (San Antonio, TX). 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 David Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Kim accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Moda Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list David 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 David Kim affiliated with any hospitals?
According to CMS data, David Kim is affiliated with Alexian Brothers Medical Center 1 and Round Rock Medical Center.
When was this NPI record last updated?
The NPPES record for David Kim was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# David J Kim, MD · NPI 1205194560
Interventional Pain Medicine physician in Cedar Park, Texas. Individual provider, active in the CMS NPPES registry since April 24, 2012.
## Identity
- **NPI:** 1205194560 (Entity type: Individual)
- **Enumerated:** April 24, 2012
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **State license:** R1798 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 BUTTERCUP CREEK BLVD STE 115, Cedar Park, TX 78613-3701
- **Phone:** (512) 777-1211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Skyline Medical PLLC (NPI 1760200216, Cedar Park, TX); Tricity Pain Associates PA (NPI 1619244720, San Antonio, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2012
## Record status
- **NPPES last updated:** December 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205194560) · Data from the CMS NPPES public registry.