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DR. KEITHSTONE YOUNG KIM MD
NPI 1346867587
Family Medicine in Omaha, NE

Active since July 04, 2020PECOS EnrolledAccepts Medicare Assignment
7710 MERCY ROAD, SUITE 202 - CU DEPARTMENT OF FAMILY MEDICINE, OMAHA, NE 68124(402) 280-4318 Get Directions Write a Review

NPPES record last updated: July 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Keithstone Young Kim Md NPPES

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

DR. KEITHSTONE YOUNG KIM MD (NPI 1346867587) is an individual family medicine provider in Omaha, Nebraska, licensed in Nebraska (8833) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Chi Health Bergan Mercy, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1346867587
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEITHSTONE YOUNG KIMCredential: MD
Location Address7710 MERCY ROAD, SUITE 202 - CU DEPARTMENT OF FAMILY MEDICINEOmaha, NE 68124-2353
Mailing Address7710 Mercy Road, Suite 202 - Cu Department Of Family MedicineOmaha, NE 68124-2353 · (402) 280-4318
Phone(402) 280-4318
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 4, 2020
NPPES CertifiedJuly 4, 2020
✔ NPI 1346867587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 8833
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7710 MERCY ROAD, Omaha, NE 68124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company.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. Keithstone Young 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 ID6204251879
PECOS Enrollment IDI20230802000182
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 9

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.

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.
212 services123 patients
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.
116 services82 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
42 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 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.
16 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280060
Location7500 Mercy RdOmaha, NE 68124 · Douglas County
Emergency services Birthing friendly

Chi Health Immanuel

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280081
Location6901 North 72nd StOmaha, NE 68122 · Douglas County
Emergency services Birthing friendly

Chi Health Lakeside

Acute Care Hospitals · Omaha, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280130
Location16901 Lakeside Hills CtOmaha, NE 68130 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68124 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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.

DR. ELIZA ROCHFORD PLUMMER DO
Internal Medicine
7710 MERCY ROAD, SUITE 202 - CU DEPARTMENT OF INTERNAL MEDICINE
OMAHA, NE 68124
Douglas County (402) 280-4392
DR. SUDESHNA DUTTA
Family Medicine
7710 MERCY ROAD, SUITE202- CU DEPARTMENT OF FAMILY MEDICINE
OMAHA, NE 68124
Douglas County (402) 280-4318
DR. TEREZIA PETRASKOVA DO
Internal Medicine
7710 MERCY ROAD, SUITE 202- CU DEPARTMENT OF INTERNAL MEDICINE
OMAHA, NE 68124
Douglas County (402) 280-4392
DR. CALEB VESTAL HAVERSTICK MD
Internal Medicine
7710 MERCY ROAD, SUITE 202 CU DEPARTMENT OF INTERNAL MEDICINE
OMAHA, NE 68124
Douglas County (402) 280-4210
KARI WOLATZ MD
Psychiatry & Neurology (Psychiatry)
7710 MERCY ROAD, SUITE 202 - CU DEPARTMENT OF PSYCHIATRY
OMAHA, NE 68124
Douglas County (402) 280-4195
JACLYN AMANDA URBANEC DO
Internal Medicine
7710 MERCY ROAD, SUITE 202, CU DEPARTMENT OF INTERNAL MEDICINE
OMAHA, NE 68124
Douglas County (402) 280-4210
BISHOMBER NEUPANE MBBS
Student in an Organized Health Care Education/Training Program
7710 MERCY ROAD, STE 202, ATTN: JEANNA REUSINK, GME
OMAHA, NE 68124
Douglas County (402) 280-4677
DR. JOHN W MONSON MD
Surgery
7710 MERCY ROAD, SUITE 305
OMAHA, NE 68124
Douglas County (402) 393-1338

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 Keithstone Kim's NPI number?

The NPI number for Keithstone Kim is 1346867587. It was assigned to this individual provider in the NPPES registry on July 4, 2020.

Where is Keithstone Kim located?

Keithstone Kim practices at 7710 Mercy Road Suite 202 - Cu Department Of Family Medicine, Omaha, NE 68124. The listed phone number is (402) 280-4318.

What is Keithstone Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Keithstone Kim enrolled in Medicare?

Yes. Keithstone 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 Keithstone Kim accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Keithstone 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 Keithstone Kim affiliated with any hospitals?

According to CMS data, Keithstone Kim is affiliated with Chi Health Bergan Mercy, Chi Health Immanuel and Chi Health Lakeside.

When was this NPI record last updated?

The NPPES record for Keithstone Kim was last updated on July 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.