DR. TAE SUN KIM M.D.
NPI 1366578049
Ophthalmology in Cerritos, CA

Q: What is Tae Kim's NPI number?

The NPI number for Tae Kim is 1366578049. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Q: What is Tae Kim's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tae Kim 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.

Active since February 26, 2007PECOS EnrolledAccepts Medicare Assignment

94.69/100

CMS Quality Rating

11829 SOUTH ST, SUITE 202, CERRITOS, CA 90703(562) 402-4720(562) 402-9231 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Tae Sun Kim M.d. NPPES

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

DR. TAE SUN KIM M.D. (NPI 1366578049) is an individual ophthalmology provider in Cerritos, California, licensed in California (G81760) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1990).

NPPES Registry Identity

NPI1366578049

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. TAE SUN KIMCredential: M.D.

Location Address11829 SOUTH ST, SUITE 202Cerritos, CA 90703-6828

Mailing Address11829 South St, Suite 202Cerritos, CA 90703-6828 · (562) 402-4720

Phone(562) 402-4720

Fax(562) 402-9231

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 1990

Enumeration DateFebruary 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1366578049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · G81760

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

11829 SOUTH ST, Cerritos, CA 90703

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Other Identifiers 3

Medicare ID-Type UnspecifiedW15275CA

Medicare UPINF96402CA

MedicaidGR0091370CA

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. Tae Sun Kim M.d. 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 ID7911997721

PECOS Enrollment IDI20040515000441

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 12

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 problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

1,299 services707 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

1,064 services891 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

896 services837 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

630 services585 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

568 services463 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

144 services144 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90703 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

94.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

95.82

Improvement Activities

Cost

66.19

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

100%200 patients5/55-star benchmark: 100%

Cataract Surgery: Difference Between Planned and Final Refraction

95%73 patients3/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%116 patients5/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

100%26 patients

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%32 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PACIFIC HOSPICE LLC

Hospice Care, Community Based

11829 SOUTH ST, SUITE 103
CERRITOS, CA 90703

Los Angeles County (562) 809-0988

CERRITOS EYE MEDICAL CENTER, INC.

Ophthalmology

11829 SOUTH ST, SUITE 202
CERRITOS, CA 90703

Los Angeles County (562) 402-4720

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 Tae Kim's NPI number?

The NPI number for Tae Kim is 1366578049. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Tae Kim located?

Tae Kim practices at 11829 South St Suite 202, Cerritos, CA 90703. The listed phone number is (562) 402-4720.

What is Tae Kim's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Tae Kim enrolled in Medicare?

Yes. Tae 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.

When was this NPI record last updated?

The NPPES record for Tae Kim 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.