MARIA C KIM MD
NPI 1366459588
Internal Medicine in Worcester, MA

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
94.2/100
CMS Quality Rating
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-1443(508) 334-1448 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 7, 2024, Aug 24, 2021 (2 updates tracked since 2021).

About Maria C Kim Md NPPES

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

MARIA C KIM MD (NPI 1366459588) is an individual internal medicine provider in Worcester, Massachusetts, licensed in Massachusetts (151926) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1993).

NPPES Registry Identity

NPI1366459588
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARIA C KIMCredential: MD
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Fax(508) 334-1448
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1993
Enumeration DateAugust 1, 2006
Last NPPES UpdateJune 7, 20242 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
NPI 1366459588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 151926
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.

55 LAKE AVE N, Worcester, MA 01655

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

Maria C 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 ID3274503164
PECOS Enrollment IDI20040728000969
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 16

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Imaging for evaluation of swallowing function 74230
This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.
369 services366 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
326 services323 patients
Single contrast x-ray of upper digestive tract 74240
A single contrast x-ray of the upper digestive tract is a diagnostic procedure that uses a special dye and x-rays to see how your digestive system is functioning. It helps in detecting abnormalities or diseases in your esophagus, stomach, and the first part of your small intestine.
319 services316 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
197 services197 patients
Imaging for evaluation of swallowing function 74230
This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.
149 services145 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
144 services141 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

94.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85.81
Promoting Interoperability100
Improvement Activities40
Cost61.54

Referred Medical Equipment & Supplies CMS DME claims 4

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers13 claims13 services$17.63 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
2 suppliers12 claims12 services$4.38 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers19 claims24 services$6.67 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers16 claims32 services$5.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Breast Cancer Screening 20% 66
Closing the Referral Loop: Receipt of Specialist Report 100% 559
Controlling High Blood Pressure 83% 230
Documentation of Current Medications in the Medical Record 99% 714
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 64% 559
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 97% 573
Provide Patients Electronic Access to Their Health Information 100% 559
Radiology: Exposure Dose Indices Reported for Procedures Using Fluoroscopy 99% 439
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 100% 225

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.

Pharmacist (Pharmacotherapy)
55 LAKE AVE N, UMASS MED CENTER DEPT OF PHARMACY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Internal Medicine (Cardiovascular Disease)
55 LAKE AVE N, CARDIOLOGY
WORCESTER, MA 01655
Psychiatry & Neurology (Psychiatry)
55 LAKE AVE N
WORCESTER, MA 01655
Pharmacist (Pharmacotherapy)
55 LAKE AVE N
WORCESTER, MA 01655
Genetic Counselor, MS
55 LAKE AVE N, S1-710
WORCESTER, MA 01655
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Rheumatology)
55 LAKE AVE N
WORCESTER, MA 01655

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366459588, enumerated as an "individual" on August 01, 2006.

The provider is located at 55 LAKE AVE N WORCESTER, MA 01655 and the phone number is (508) 334-1443.

Internal Medicine with taxonomy code 207R00000X.