MOSES KIM M.D.
NPI 1245496496
General Practice in Moline, IL

Q: What is Moses Kim's NPI number?

The NPI number for Moses Kim is 1245496496. It was assigned to this individual provider in the NPPES registry on August 6, 2008.

Q: What is Moses Kim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Moses Kim was last updated on November 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 06, 2008PECOS EnrolledAccepts Medicare Assignment

81.05/100

CMS Quality Rating

555 VALLEY VIEW DR, MOLINE, IL 61265(309) 764-9675(309) 764-3106 Get Directions Write a Review

NPPES record last updated: November 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2023, Aug 6, 2019, Jul 16, 2018 (3 updates tracked since 2018).

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About Moses Kim M.d. NPPES

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

MOSES KIM M.D. (NPI 1245496496) is an individual general practice provider in Moline, Illinois, licensed in Illinois (036128765) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2008).

NPPES Registry Identity

NPI1245496496

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameMOSES KIMCredential: M.D.

Location Address555 VALLEY VIEW DRMoline, IL 61265-6138

Mailing Address555 Valley View DrMoline, IL 61265-6138 · (309) 764-9675 · Fax (309) 764-3106

Phone(309) 764-9675

Fax(309) 764-3106

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2008

Enumeration DateAugust 6, 2008

Last NPPES UpdateNovember 24, 20233 updates tracked since enumeration

NPPES CertifiedNovember 24, 2023

✔ NPI 1245496496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Licenses✔ Licensed in IL · 036128765✔ Licensed in IA · MD-44392

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License TP786 (KY)

555 VALLEY VIEW DR, Moline, IL 61265

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and more.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

Moses 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 ID4284942905

PECOS Enrollment IDI20230802002888

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 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.

81.05/100

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

Scored as part of a group practice

Quality

75.21

Promoting Interoperability

100

Improvement Activities

Cost

28.3

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Collagen dressing, sterile, size 16 sq. in. or less, each A6021

DME-Medical/Surgical Supplies · category DA023N

1 supplier26 claims762 services$20.19 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

1 supplier61 claims2,044 services$7.12 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209

DME-Medical/Surgical Supplies · category DA023N

1 supplier21 claims320 services$7.23 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

1 supplier56 claims848 services$9.37 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6213

DME-Medical/Surgical Supplies · category DA023N

1 supplier18 claims205 services$10.02 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219

DME-Medical/Surgical Supplies · category DA023N

1 supplier53 claims1,695 services$0.93 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 16

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

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