JUSTIN KIM PA-C
NPI 1356127260
Physician Assistant in Dallas, TX

Active since September 06, 2023PECOS EnrolledAccepts Medicare Assignment
3430 W. WHEATLAND ROAD, POB I SUITE 104, DALLAS, TX 75237(469) 695-2020(469) 695-2019 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 11, 2023, Sep 6, 2023 (2 updates tracked since 2023).

About Justin Kim Pa-c NPPES

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

JUSTIN KIM PA-C (NPI 1356127260) is an individual physician assistant in Dallas, Texas and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, is affiliated with Methodist Charlton Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356127260
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJUSTIN KIMCredential: PA-C
Location Address3430 W. WHEATLAND ROAD, POB I SUITE 104Dallas, TX 75237
Mailing Address3430 W. Wheatland Road, Pob I Suite 104Dallas, TX 75237 · (469) 695-2020 · Fax (469) 695-2019
Fax(469) 695-2019
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 6, 2023
Last NPPES UpdateApril 17, 20252 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
NPI 1356127260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3430 W. WHEATLAND ROAD, Dallas, TX 75237

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

Justin Kim Pa-c 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 ID2961858055
PECOS Enrollment IDI20231025003562
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.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $22.04 for a new patient copayment and $17.82 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 75237 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.19
  • Minimum New Patient Price $57.18
  • Maximum New Patient Price $172.86
  • Average New Patient Copayment $22.04
  • Minimum New Patient Copayment $14.29
  • Maximum New Patient Copayment $43.21

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $71.28
  • Minimum Established Patient Price $18.48
  • Maximum Established Patient Price $141.2
  • Average Established Patient Copayment $17.82
  • Minimum Established Patient Copayment $4.62
  • Maximum Established Patient Copayment $35.3

* 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. Justin Kim is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
METHODIST CHARLTON MEDICAL CENTER3500 W WHEATLAND ROAD
DALLAS, TX 75237
(214) 947-7777Acute Care Hospitals

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Surgery
3430 W. WHEATLAND ROAD, BLDG I SUITE 119
DALLAS, TX 75237
Internal Medicine (Interventional Cardiology)
3430 W. WHEATLAND ROAD, BUILDING I SUITE 202
DALLAS, TX 75237
Internal Medicine (Gastroenterology)
3430 W. WHEATLAND ROAD, CHARLTON I POB, SUITE 109
DALLAS, TX 75237
Orthopaedic Surgery
3430 W. WHEATLAND ROAD, POB I SUITE 104
DALLAS, TX 75237
Physician Assistant
3430 W. WHEATLAND ROAD, POB I SUITE 104
DALLAS, TX 75237

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356127260, enumerated as an "individual" on September 06, 2023.

The provider is located at 3430 W. WHEATLAND ROAD POB I SUITE 104 DALLAS, TX 75237 and the phone number is (469) 695-2020.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Imperial. Please consult your insurance carrier or call the provider to verify.

Justin Kim is affiliated with: METHODIST CHARLTON MEDICAL CENTER.