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SUSAN KIM M.D.
NPI 1255643201
Hospitalist in Monterey, CA

Active since July 07, 2010PECOS EnrolledAccepts Medicare Assignment
85.56/100
CMS Quality Rating
23625 WR HOLMAN HWY, MONTEREY, CA 93940(831) 622-2708(831) 622-2709 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Kim M.d. NPPES

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

SUSAN KIM M.D. (NPI 1255643201) is an individual hospitalist provider in Monterey, California, licensed in California (A113035) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2006).

NPPES Registry Identity

NPI1255643201
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSUSAN KIMCredential: M.D.
Location Address23625 WR HOLMAN HWYMonterey, CA 93940-5902
Mailing Address23625 Holman HwyMonterey, CA 93940-5902 · (831) 622-2708
Phone(831) 622-2708
Fax(831) 622-2709
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2006
Enumeration DateJuly 7, 2010
Last NPPES UpdateOctober 22, 2019
✔ NPI 1255643201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · A113035
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License A113035 (CA)
23625 WR HOLMAN HWY, Monterey, CA 93940
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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

Susan 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 ID4082739727
PECOS Enrollment IDI20100917000412
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
897 services356 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
413 services155 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
275 services271 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
197 services193 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
26 services26 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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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
$139.84 typical visit price
range $61.69 – $184.30
Typical copayment $34.96 (range $15.42 – $46.07)
Most-billed visit code 99204
Established Patient
$108.04 typical visit price
range $20.34 – $151.02
Typical copayment $27.01 (range $5.08 – $37.75)
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.

85.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.88
Improvement Activities0
Cost84.56

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier39 claims39 services$16.99 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier16 claims16 services$783.18 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$5.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier53 claims53 services$85.06 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$34.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. MITSUYO KOHAMA M.D.
Hospitalist
23625 WR HOLMAN HWY
MONTEREY, CA 93940
Monterey County (831) 622-2708
JOSE ISHMAEL MENDEZ DO
Hospitalist
23625 WR HOLMAN HWY
MONTEREY, CA 93940
Monterey County (831) 622-2708
DR. MARKO RAKIC M.B.B.S.
Hospitalist
23625 WR HOLMAN HWY
MONTEREY, CA 93940
Monterey County (831) 622-2708
RICHARD ZUG, M.D., INC.
Surgery
23625 WR HOLMAN HWY, SUITE 3731
MONTEREY, CA 93940
Monterey County (831) 596-0708
HOANG-TUAN K PHAM DO
Hospitalist
23625 WR HOLMAN HWY
MONTEREY, CA 93940
Monterey County (831) 622-2708
BRUCE L. HULTGREN MD
Anesthesiology
23625 WR HOLMAN HWY
MONTEREY, CA 93940
Monterey County (831) 624-5311
MR. CHARLES C BATES MD
Hospitalist
23625 WR HOLMAN HWY
MONTEREY, CA 93940
Monterey County (831) 622-2708
KIMBERLY DAWN-MARIE LANG FNP
Nurse Practitioner
23625 WR HOLMAN HWY
MONTEREY, CA 93940
Monterey County (831) 624-5311

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 Susan Kim's NPI number?

The NPI number for Susan Kim is 1255643201. It was assigned to this individual provider in the NPPES registry on July 7, 2010.

Where is Susan Kim located?

Susan Kim practices at 23625 Wr Holman Hwy, Monterey, CA 93940. The listed phone number is (831) 622-2708.

What is Susan Kim's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Susan Kim enrolled in Medicare?

Yes. Susan 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.

When was this NPI record last updated?

The NPPES record for Susan Kim was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.