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YOUN JEA KIM NP
NPI 1376908442
Nurse Practitioner - Family in Buffalo, NY

Active since December 16, 2015PECOS Enrolled
550 ORCHARD PARK RD STE A110, BUFFALO, NY 14224(716) 650-5720 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2023, Jun 8, 2023, Aug 23, 2016 and 1 more (4 updates tracked since 2015).

About Youn Jea Kim Np NPPES

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

YOUN JEA KIM NP (NPI 1376908442) is an individual family provider in Buffalo, New York, licensed in New York (340203) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, is affiliated with Sisters Of Charity Hospital, and maintains a secondary practice location in Dunkirk.

NPPES Registry Identity

NPI1376908442
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameYOUN JEA KIMCredential: NP
Location Address550 ORCHARD PARK RD STE A110Buffalo, NY 14224-2646
Mailing Address1170 Maple RdWilliamsville, NY 14221-3440 · (213) 880-2538
Phone(716) 650-5720
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 16, 2015
Last NPPES UpdateAugust 11, 20234 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
✔ NPI 1376908442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 340203
Also ListedDermatologyTaxonomy 207N00000X · License 340203 (NY)
550 ORCHARD PARK RD STE A110, Buffalo, NY 14224
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Secondary Practice Location 1

Location 1609 Central AveDunkirk, NY 14048-2538 · Phone (716) 650-5720

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Youn Jea Kim Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143522979
PECOS Enrollment IDI20160928002733
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Youn Jea Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Near Me Dermatology PLLC
Same address
Dermatology
550 ORCHARD PARK RD STE A110
West Seneca, NY 14224
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group
NPI 1083387898 (716) 650-5720
Wny Medical PC
10.0 mi
Internal Medicine
4979 HARLEM RD
Amherst, NY 14226
  • Reassigned Medicare billing, New York enrollment
  • 84 clinicians in this Medicare group
NPI 1154421246 (716) 923-4380

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.
780 services195 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
436 services100 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
243 services102 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.
127 services127 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
126 services102 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
107 services81 patients

Hospital Affiliations CMS Care Compare 4

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

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Jones Memorial Hospital

Acute Care Hospitals · Wellsville, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330096
Location191 North Main StreetWellsville, NY 14895 · Allegany County
Emergency services Birthing friendly

Olean General Hospital

Acute Care Hospitals · Olean, NY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number330103
Location515 Main StreetOlean, NY 14760 · Cattaraugus County
Emergency services Birthing friendly

Brooks-Tlc Hospital System, Inc

Acute Care Hospitals · Dunkirk, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330229
Location529 Central AvenueDunkirk, NY 14048 · Chautauqua County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14224 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
59%255 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
12%118 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
4%263 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
20%261 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
6%67 patients1/55-star benchmark: 98%
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.

NEAR ME DERMATOLOGY PLLC
Dermatology
550 ORCHARD PARK RD STE A110
WEST SENECA, NY 14224
Erie County (716) 650-5720
KASEY JOLEE WEAVER FNP
Nurse Practitioner (Family)
550 ORCHARD PARK RD STE A110
WEST SENECA, NY 14224
Erie County (716) 650-5720

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 Youn Jea Kim's NPI number?

The NPI number for Youn Jea Kim is 1376908442. It was assigned to this individual provider in the NPPES registry on December 16, 2015.

Where is Youn Jea Kim located?

Youn Jea Kim practices at 550 Orchard Park Rd Ste A110, Buffalo, NY 14224. The listed phone number is (716) 650-5720.

What is Youn Jea Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Youn Jea Kim enrolled in Medicare?

Yes. Youn Jea Kim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Youn Jea Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Youn Jea Kim reassigns Medicare benefits to 2 organizations: Near Me Dermatology PLLC (West Seneca, NY) and Wny Medical PC (Amherst, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Youn Jea Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Youn Jea Kim affiliated with any hospitals?

According to CMS data, Youn Jea Kim is affiliated with Sisters Of Charity Hospital, Jones Memorial Hospital, Olean General Hospital and Brooks-Tlc Hospital System, Inc.

When was this NPI record last updated?

The NPPES record for Youn Jea Kim was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.