PETER DAVID KIM MD
NPI 1336381185
Neurological Surgery in Saint Paul, MN

Active since March 25, 2009PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101(651) 325-2307(651) 229-1713 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Peter David Kim Md NPPES

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

PETER DAVID KIM MD (NPI 1336381185) is an individual neurological surgery provider in Saint Paul, Minnesota, licensed in Minnesota (54156) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Gillette Childrens Specialty Hospital, and is a graduate of State University Of Ny Upstate Medical University (2003).

NPPES Registry Identity

NPI1336381185
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NamePETER DAVID KIMCredential: MD
Location Address200 UNIVERSITY AVE ESaint Paul, MN 55101-2507
Mailing Address200 University Ave ESaint Paul, MN 55101-2507 · (651) 325-2307 · Fax (651) 229-1713
Fax(651) 229-1713
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2003
Enumeration DateMarch 25, 2009
Last NPPES UpdateApril 20, 2026
NPPES CertifiedApril 20, 2026
NPI 1336381185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in MN · 54156
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
200 UNIVERSITY AVE E, Saint Paul, MN 55101

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

Peter David Kim Md 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 ID5496887465
PECOS Enrollment IDI20111222000431
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.

Hospital Affiliations CMS Care Compare

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

Gillette Childrens Specialty Hospital

Childrens · Saint Paul, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number243300
Location200 University Avenue EastSaint Paul, MN 55106 · Ramsey County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Social Worker (Clinical)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Pediatrics (Pediatric Infectious Diseases)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Physician Assistant
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Registered Nurse (Pediatrics)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Dietitian, Registered
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Registered Nurse (Registered Nurse First Assistant)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Orthopaedic Surgery
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101

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 Peter Kim's NPI number?

The NPI number for Peter Kim is 1336381185. It was assigned to this individual provider in the NPPES registry on March 25, 2009.

Where is Peter Kim located?

Peter Kim practices at 200 University Ave E, Saint Paul, MN 55101. The listed phone number is (651) 325-2307.

What is Peter Kim's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Peter Kim enrolled in Medicare?

Yes. Peter 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 Peter Kim accept?

Health plans from HealthPartners and Medica list Peter 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 Peter Kim affiliated with any hospitals?

According to CMS data, Peter Kim is affiliated with Gillette Childrens Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Peter Kim was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.