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WALTER J KIM M.D.
NPI 1497011852
Orthopaedic Surgery in Mount Pleasant, WI

Active since April 10, 2012PECOS EnrolledAccepts Medicare Assignment
13250 WASHINGTON AVE, MOUNT PLEASANT, WI 53177(888) 720-2012 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Dec 1, 2021, May 7, 2020 and 2 more (5 updates tracked since 2018).

About Walter J Kim M.d. NPPES

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

WALTER J KIM M.D. (NPI 1497011852) is an individual orthopaedic surgery provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (69704) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2012).

NPPES Registry Identity

NPI1497011852
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameWALTER J KIMCredential: M.D.
Location Address13250 WASHINGTON AVEMount Pleasant, WI 53177-1516
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(888) 720-2012
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2012
Enumeration DateApril 10, 2012
Last NPPES UpdateAugust 19, 20245 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1497011852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in WI · 69704
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
13250 WASHINGTON AVE, Mount Pleasant, WI 53177
Open in Google Maps ↗

Other Identifiers 1

Medicaid100080577WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Walter J 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 ID8527378637
PECOS Enrollment IDI20180809000134
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 7

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
816 services12 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
172 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
95 services73 patients
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.
59 services48 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
44 services32 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.
44 services44 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53177 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

ALEXIS MARIE VENTURA DNP, CRNA
Nurse Anesthetist, Certified Registered
13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Racine County (262) 857-5000
JACK CONOR NEYLON
Registered Nurse
13250 WASHINGTON AVE
MT PLEASANT, WI 53177
Racine County (262) 799-8700
DR. ADRIAN KENNETH STULL M.D.
Emergency Medicine
13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Racine County (262) 799-8700
JAMES M WALTENBERGER MD
Surgery
13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Racine County (888) 720-2012
DR. DONNA J HEMPHILL MD
Obstetrics & Gynecology
13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Racine County (888) 720-2012
MARGARET ANN RYNKIEWICZ
Physician Assistant
13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Racine County (262) 799-8700
MR. JEFFREY THOMAS VAUGHAN KROEGER CRNA
Nurse Anesthetist, Certified Registered
13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Racine County (262) 799-8700
MR. EVAN JACOB CLARK MD
Emergency Medicine
13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Racine County (262) 799-8200

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 Walter Kim's NPI number?

The NPI number for Walter Kim is 1497011852. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Walter Kim located?

Walter Kim practices at 13250 Washington Ave, Mount Pleasant, WI 53177. The listed phone number is (888) 720-2012.

What is Walter Kim's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Walter Kim enrolled in Medicare?

Yes. Walter 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.

What insurance does Walter Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Walter Kim 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 Walter Kim affiliated with any hospitals?

According to CMS data, Walter Kim is affiliated with Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Walter Kim was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.