DR. JENNY JIYON KIM M.D., PH.D.
NPI 1306883350
Dermatology - MOHS-Micrographic Surgery in Los Angeles, CA

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
76.18/100
CMS Quality Rating
200 UCLA MEDICAL PLZ, LOS ANGELES, CA 90095(310) 825-6911(310) 206-8517 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jenny Jiyon Kim M.d., Ph.d. NPPES

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

DR. JENNY JIYON KIM M.D., PH.D. (NPI 1306883350) is an individual mohs-micrographic surgery provider in Los Angeles, California, licensed in California (G76728) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of University Of California, Geffen School Of Medicine (1991).

NPPES Registry Identity

NPI1306883350
Entity TypeIndividualFemale
Primary Taxonomy207ND0101X
Provider Legal NameDR. JENNY JIYON KIMCredential: M.D., PH.D.
Location Address200 UCLA MEDICAL PLZLos Angeles, CA 90095-0001
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Fax(310) 206-8517
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1991
Enumeration DateMay 31, 2006
Last NPPES UpdateSeptember 3, 2019
NPI 1306883350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in CA · G76728
Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatologyTaxonomy 207N00000X · License G76728 (CA)
200 UCLA MEDICAL PLZ, Los Angeles, CA 90095

Secondary Practice Location 1

Location 1100 Ucla Medical PlzLos Angeles, CA 90024-6970 · Phone (310) 206-7546 · Fax (310) 208-2266

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. Jenny Jiyon Kim M.d., Ph.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 ID840343851
PECOS Enrollment IDI20090807000445
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 12

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
117 services27 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
101 services80 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.
91 services64 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
80 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services40 patients
Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313
This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.
42 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

76.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.24
Promoting Interoperability100
Improvement Activities40
Cost29.35

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.

Student in an Organized Health Care Education/Training Program
200 UCLA MEDICAL PLZ
LOS ANGELES, CA 90095
Orthopaedic Surgery
200 UCLA MEDICAL PLZ, STE 140
LOS ANGELES, CA 90095
Nuclear Medicine
200 UCLA MEDICAL PLZ, SUITE B114
LOS ANGELES, CA 90095
Social Worker (Clinical)
200 UCLA MEDICAL PLZ, SUITE 265-121
LOS ANGELES, CA 90095
Internal Medicine (Hematology & Oncology)
200 UCLA MEDICAL PLZ
LOS ANGELES, CA 90095
Surgery (Plastic and Reconstructive Surgery)
200 UCLA MEDICAL PLZ, SUITE 465
LOS ANGELES, CA 90095
Dermatology
200 UCLA MEDICAL PLZ, SUITE 450
LOS ANGELES, CA 90095
Pediatrics (Neonatal-Perinatal Medicine)
200 UCLA MEDICAL PLZ
LOS ANGELES, CA 90095

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 Jenny Kim's NPI number?

The NPI number for Jenny Kim is 1306883350. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Jenny Kim located?

Jenny Kim practices at 200 Ucla Medical Plz, Los Angeles, CA 90095. The listed phone number is (310) 825-6911.

What is Jenny Kim's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Jenny Kim enrolled in Medicare?

Yes. Jenny 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 Jenny Kim was last updated on September 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.