STACY JUNE KIM M.D.
NPI 1265633077
Pathology - Anatomic Pathology & Clinical Pathology in Las Vegas, NV

NPI Status: Active since May 30, 2007

Contact Information

4230 BURNHAM AVE
ASSOCIATED PATHOLOGISTS, CHARTERED
LAS VEGAS, NV
ZIP 89119
Phone: (702) 733-7866
Fax: (702) 792-1319

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  • Individual
  • Female
  • Years of Experience 23
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About STACY KIM

This page provides the complete NPI Profile along with additional information for Stacy Kim, a provider established in Las Vegas, Nevada with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology and more than 23 years of experience. She graduated from Northeastern Ohio University College Of Medicine in 2003. The healthcare provider is registered in the NPI registry with number 1265633077 assigned on May 2007. The practitioner's primary taxonomy code is 207ZP0102X with license number 12851 (NV). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1265633077
Provider Name
STACY JUNE KIM M.D.
Gender
Female
Entity Type
Individual
Location Address
4230 BURNHAM AVE ASSOCIATED PATHOLOGISTS, CHARTERED LAS VEGAS, NV 89119
Location Phone
(702) 733-7866
Location Fax
(702) 792-1319
Mailing Address
4230 BURNHAM AVE ASSOCIATED PATHOLOGISTS, CHARTERED LAS VEGAS, NV 89119
Mailing Phone
(702) 733-7866
Mailing Fax
(702) 792-1319
Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduation Year
2003
Is Sole Proprietor?
Yes
Enumeration Date
05-30-2007
Last Update Date
10-12-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
12851
License State
NV
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ZC0500XAllopathic & Osteopathic Physicians

Pathology
Cytopathology

12851 (NV)
2207ZC0500XAllopathic & Osteopathic Physicians

Pathology
Cytopathology

A108582 (CA)
3207ZP0102XAllopathic & Osteopathic Physicians

Pathology
Anatomic Pathology & Clinical Pathology

A108582 (CA)
4207ZP0102XAllopathic & Osteopathic Physicians

Pathology
Anatomic Pathology & Clinical Pathology

MD430805 (PA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
12851OTHER (01)NVMEDICAL LICENSE
A108582OTHER (01)CAMEDICAL LICENSE
1265633077MEDICAID (05)NV 

Medicare Participation & PECOS Enrollment Status

Stacy Kim is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Stacy Kim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7719047745

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20081121000020

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cell examination of specimen, selective cellular enhancement technique

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

This service was performed 78 times for 70 patients

Cell examination of specimen, selective cellular enhancement technique

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

This service was performed 195 times for 183 patients

Evaluation of fine needle aspirate

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

This service was performed 13 times for 13 patients

Evaluation of fine needle aspirate with interpretation and report

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

This service was performed 46 times for 42 patients

Pathology examination of tissue using a microscope, intermediate complexity

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

This service was performed 238 times for 149 patients

Pathology examination of tissue using a microscope, intermediate complexity

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

This service was performed 346 times for 218 patients

Pathology examination of tissue using a microscope, limited examination

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

This service was performed 11 times for 11 patients

Pathology examination of tissue using a microscope, moderately high complexity

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

This service was performed 21 times for 15 patients

Pathology examination of tissue using a microscope, moderately low complexity

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

This service was performed 28 times for 26 patients

Preparation of tissue for examination by removing any calcium present

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

This service was performed 15 times for 13 patients

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician

This is a routine health check where a sample of cells is collected from the lower region of the female reproductive system. The sample is preserved and prepared using automated technology for detailed examination. A doctor interprets the results to check for any abnormalities.

This service was performed 22 times for 22 patients

Special stained specimen slides to examine tissue, each additional procedure

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

This service was performed 89 times for 30 patients

Special stained specimen slides to examine tissue, each additional procedure

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

This service was performed 103 times for 31 patients

Special stained specimen slides to examine tissue, initial procedure

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

This service was performed 37 times for 35 patients

Special stained specimen slides to examine tissue, initial procedure

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

This service was performed 49 times for 44 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $32.81 for a new patient copayment and $25.15 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 89119 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $131.25
  • Minimum New Patient Price $57.07
  • Maximum New Patient Price $173.24
  • Average New Patient Copayment $32.81
  • Minimum New Patient Copayment $14.26
  • Maximum New Patient Copayment $43.31

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.6
  • Minimum Established Patient Price $18.27
  • Maximum Established Patient Price $140.96
  • Average Established Patient Copayment $25.15
  • Minimum Established Patient Copayment $4.56
  • Maximum Established Patient Copayment $35.24

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Stacy Kim is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UNIVERSITY MEDICAL CENTER1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
(702) 383-2000Acute Care Hospitals
SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS3001 ST ROSE PARKWAY
HENDERSON, NV 89052
(702) 616-5000Acute Care Hospitals
SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS8280 W WARM SPRINGS ROAD
LAS VEGAS, NV 89113
(702) 492-8509Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265633077, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 2 + 3 + 6 + 0 + 1 + 4 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1265633077.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
4230 BURNHAM AVE, ASSOCIATED PATHOLOGISTS, CHARTERED
LAS VEGAS, NV 89119
Pathology (Anatomic Pathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pathology (Anatomic Pathology & Clinical Pathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pathology (Anatomic Pathology & Clinical Pathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pathology (Anatomic Pathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pathology (Anatomic Pathology & Clinical Pathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pathology (Anatomic Pathology & Clinical Pathology)
4230 BURNHAM AVE, ASSOCIATED PATHOLOGISTS, CHARTERED
LAS VEGAS, NV 89119
Pathology (Anatomic Pathology & Clinical Pathology)
4230 BURNHAM AVE, ASSOCIATED PATHOLOGISTS, CHARTERED
LAS VEGAS, NV 89119
Pathology (Anatomic Pathology & Clinical Pathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pathology (Anatomic Pathology & Clinical Pathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pathology (Anatomic Pathology & Clinical Pathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pathology (Anatomic Pathology & Clinical Pathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pathology (Anatomic Pathology & Clinical Pathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pathology (Dermatopathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pathology (Dermatopathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pathology (Cytopathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pathology (Cytopathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265633077, enumerated as an "individual" on May 30, 2007.

The provider is located at 4230 BURNHAM AVE ASSOCIATED PATHOLOGISTS, CHARTERED LAS VEGAS, NV 89119 and the phone number is (702) 733-7866.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Stacy Kim is affiliated with: UNIVERSITY MEDICAL CENTER, SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS and SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS.