SUNG SAM LIM M.D., M.P.H.
NPI 1366558744
Internal Medicine - Rheumatology in Atlanta, GA

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
49 JESSE HILL JR DR SE, RHEUMATOLOGY, ATLANTA, GA 30303(404) 616-3640 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sung Sam Lim M.d., M.p.h. NPPES

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

SUNG SAM LIM M.D., M.P.H. (NPI 1366558744) is an individual rheumatology provider in Atlanta, Georgia, licensed in Georgia (046156) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1366558744
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameSUNG SAM LIMCredential: M.D., M.P.H.
Location Address49 JESSE HILL JR DR SE, RHEUMATOLOGYAtlanta, GA 30303-3049
Mailing Address49 Jesse Hill Jr Dr Se, RheumatologyAtlanta, GA 30303-3049
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1366558744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in GA · 046156
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
49 JESSE HILL JR DR SE, Atlanta, GA 30303

Other Identifiers 1

Medicare UPING32268GA

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

Sung Sam Lim M.d., M.p.h. 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 ID1759406531
PECOS Enrollment IDI20100916000869
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 2

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.
39 services33 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.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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.

Internal Medicine
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Physician Assistant
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Internal Medicine (Hematology & Oncology)
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303

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 Sung Lim's NPI number?

The NPI number for Sung Lim is 1366558744. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Sung Lim located?

Sung Lim practices at 49 Jesse Hill Jr Dr SE Rheumatology, Atlanta, GA 30303. The listed phone number is (404) 616-3640.

What is Sung Lim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sung Lim enrolled in Medicare?

Yes. Sung Lim 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 Sung Lim accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Sung Lim 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 Sung Lim affiliated with any hospitals?

According to CMS data, Sung Lim is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sung Lim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.