DR. MICHAEL J LIM MD
NPI 1235151861
Internal Medicine - Cardiovascular Disease in Poplar Bluff, MO

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
92.94/100
CMS Quality Rating
3098 OAK GROVE RD, POPLAR BLUFF, MO 63901(573) 778-2600 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 29, 2026, Sep 16, 2021 (2 updates tracked since 2021).

About Dr. Michael J Lim Md NPPES

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

DR. MICHAEL J LIM MD (NPI 1235151861) is an individual cardiovascular disease provider in Poplar Bluff, Missouri, licensed in Missouri (2003015146) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northwest Health-la Porte, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1235151861
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MICHAEL J LIMCredential: MD
Location Address3098 OAK GROVE RDPoplar Bluff, MO 63901-8938
Mailing Address3098 Oak Grove RdPoplar Bluff, MO 63901-8938 · (573) 778-2600
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 24, 2006
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1235151861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MO · 2003015146
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3098 OAK GROVE RD, Poplar Bluff, MO 63901

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

Dr. Michael J Lim 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 ID9638078272
PECOS Enrollment IDI20100713000422, I20251119000906
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

2

Medicare enrollment records show Michael Lim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3098 OAK GROVE RD
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 89 clinicians in this Medicare group
Internal Medicine
85 E US HIGHWAY 6
Valparaiso, IN 46383
  • Reassigned Medicare billing, Indiana enrollment
  • 153 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 15

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.
144 services89 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
131 services126 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.
71 services46 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
38 services37 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
35 services33 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
31 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Northwest Health-La Porte

Acute Care Hospitals · La Porte, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150006
Location1331 State StreetLa Porte, IN 46350 · La Porte County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Poplar Bluff Regional Medical Center

Acute Care Hospitals · Poplar Bluff, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260119
Location3100 Oak Grove RoadPoplar Bluff, MO 63901 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63901 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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.

92.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Preventive Medicine (Undersea and Hyperbaric Medicine)
3098 OAK GROVE RD
POPLAR BLUFF, MO 63901
Nurse Practitioner (Family)
3098 OAK GROVE RD
POPLAR BLUFF, MO 63901
Nurse Practitioner
3098 OAK GROVE RD
POPLAR BLUFF, MO 63901
Family Medicine
3098 OAK GROVE RD
POPLAR BLUFF, MO 63901
Internal Medicine (Interventional Cardiology)
3098 OAK GROVE RD
POPLAR BLUFF, MO 63901
Internal Medicine (Cardiovascular Disease)
3098 OAK GROVE RD
POPLAR BLUFF, MO 63901
Surgery
3098 OAK GROVE RD
POPLAR BLUFF, MO 63901
Internal Medicine (Rheumatology)
3098 OAK GROVE RD
POPLAR BLUFF, MO 63901

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 Michael Lim's NPI number?

The NPI number for Michael Lim is 1235151861. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Michael Lim located?

Michael Lim practices at 3098 Oak Grove Rd, Poplar Bluff, MO 63901. The listed phone number is (573) 778-2600.

What is Michael Lim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Lim enrolled in Medicare?

Yes. Michael Lim 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 Michael Lim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Lim reassigns Medicare benefits to 2 organizations: Poplar Bluff Hma Physician Management, LLC (Poplar Bluff, MO) and La Porte Clinic Company LLC (Valparaiso, 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 Michael Lim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Lim accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Ambetter from Sunflower Health Plan and 4 other insurers list Michael Lim 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 Michael Lim affiliated with any hospitals?

According to CMS data, Michael Lim is affiliated with Northwest Health-La Porte, Barnes Jewish Hospital and Poplar Bluff Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Lim was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.