MR. JEFFREY KIM
NPI 1255937363
Nurse Practitioner - Family in Duarte, CA

Active since December 05, 2020PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
802 BUENA VISTA ST, DUARTE, CA 91010(872) 231-3162 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 26, 2021, Jun 30, 2021, Dec 5, 2020 (3 updates tracked since 2020).

About Mr. Jeffrey Kim NPPES

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

MR. JEFFREY KIM (NPI 1255937363) is an individual family provider in Duarte, California, licensed in California (95015837) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255937363
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JEFFREY KIM
Location Address802 BUENA VISTA STDuarte, CA 91010-1702
Mailing AddressPo Box 7410882Chicago, IL 60674-0882 · (702) 899-0595 · Fax (702) 977-1496
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 5, 2020
Last NPPES UpdateOctober 13, 20253 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
NPI 1255937363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95015837
802 BUENA VISTA ST, Duarte, CA 91010

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

Mr. Jeffrey Kim 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 ID9133535891
PECOS Enrollment IDI20210304001966
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
4,600 services431 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
343 services300 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
159 services37 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
105 services104 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91010 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 6

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

Physical Therapy Assistant
802 BUENA VISTA ST
DUARTE, CA 91010
Occupational Therapist
802 BUENA VISTA ST
DUARTE, CA 91010
Physical Therapist
802 BUENA VISTA ST
DUARTE, CA 91010
Physical Therapy Assistant
802 BUENA VISTA ST
DUARTE, CA 91010
Physical Therapy Assistant
802 BUENA VISTA ST
DUARTE, CA 91010
Physical Medicine & Rehabilitation (Pain Medicine)
802 BUENA VISTA ST
DUARTE, CA 91010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255937363, enumerated as an "individual" on December 05, 2020.

The provider is located at 802 BUENA VISTA ST DUARTE, CA 91010 and the phone number is (872) 231-3162.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.