DR. GARY SANG KIM M.D.
NPI 1306820667
Internal Medicine in Beaverton, OR

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
15950 SW MILLIKAN WAY, BEAVERTON, OR 97006(503) 646-0161(503) 643-7459 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gary Sang Kim M.d. NPPES

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

DR. GARY SANG KIM M.D. (NPI 1306820667) is an individual internal medicine provider in Beaverton, Oregon, licensed in Oregon (153579) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1306820667
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GARY SANG KIMCredential: M.D.
Location Address15950 SW MILLIKAN WAYBeaverton, OR 97006-5170
Mailing Address800 Sw 13th AvePortland, OR 97205-1902 · (503) 221-0161
Fax(503) 643-7459
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2002
Enumeration DateDecember 1, 2005
Last NPPES UpdateNovember 16, 2020
NPPES CertifiedNovember 16, 2020
NPI 1306820667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in OR · 153579 Licensed in IN · 01059242A
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

15950 SW MILLIKAN WAY, Beaverton, OR 97006

Secondary Practice Location 1

Location 15005 NE Sandy BlvdPortland, OR 97213-1941 · Phone (503) 233-6940

Accepted 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

Dr. Gary Sang 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 ID5991982480
PECOS Enrollment IDI20120621000009
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 17

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
132 services93 patients
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.
90 services68 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
65 services49 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
63 services57 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
54 services51 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
52 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97006 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers15 claims36 services$5.31 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers79 claims79 services$180.68 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 15

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

Family Medicine
15950 SW MILLIKAN WAY
BEAVERTON, OR 97006
Pediatrics
15950 SW MILLIKAN WAY
BEAVERTON, OR 97006
Dietitian, Registered
15950 SW MILLIKAN WAY
BEAVERTON, OR 97006
Internal Medicine
15950 SW MILLIKAN WAY
BEAVERTON, OR 97006
Internal Medicine
15950 SW MILLIKAN WAY
BEAVERTON, OR 97006
Family Medicine
15950 SW MILLIKAN WAY
BEAVERTON, OR 97006
Pediatrics
15950 SW MILLIKAN WAY
BEAVERTON, OR 97006
Dermatology
15950 SW MILLIKAN WAY
BEAVERTON, OR 97006

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 Gary Kim's NPI number?

The NPI number for Gary Kim is 1306820667. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Gary Kim located?

Gary Kim practices at 15950 SW Millikan Way, Beaverton, OR 97006. The listed phone number is (503) 646-0161.

What is Gary Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gary Kim enrolled in Medicare?

Yes. Gary 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.

What insurance does Gary Kim accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Gary Kim 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 Gary Kim affiliated with any hospitals?

According to CMS data, Gary Kim is affiliated with Providence St Vincent Medical Center and Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Gary Kim was last updated on November 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.