JAE YONG KIM MD
NPI 1497287635
Ophthalmology in Dearborn, MI

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
74.01/100
CMS Quality Rating
1922 MONROE ST, DEARBORN, MI 48124(313) 274-7540 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 9, 2024, Feb 2, 2023, Jul 26, 2021 and 1 more (4 updates tracked since 2017).

About Jae Yong Kim Md NPPES

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

JAE YONG KIM MD (NPI 1497287635) is an individual ophthalmology provider in Dearborn, Michigan, licensed in Michigan (4301507485) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1497287635
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJAE YONG KIMCredential: MD
Location Address1922 MONROE STDearborn, MI 48124-2917
Mailing Address1922 Monroe StDearborn, MI 48124-2917
Sole ProprietorYes
Medical School CMSUniv Of Central Florida, College Of MedicineGraduated 2017
Enumeration DateMarch 28, 2017
Last NPPES UpdateFebruary 12, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
NPI 1497287635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MI · 4301507485 Licensed in CA · A171816
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.

1922 MONROE ST, Dearborn, MI 48124

Secondary Practice Locations 3

Location 1100 Stein PlzLos Angeles, CA 90095-7408 · Phone (310) 825-3090
Location 26850 Lake Nona BlvdOrlando, FL 32827-7408 · Phone (407) 518-2751
Location 34717 Saint Antoine StDetroit, MI 48201-1423 · Phone (313) 577-8900

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

Jae Yong 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 ID6507265642
PECOS Enrollment IDI20220727000371
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 23

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 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.
266 services260 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
259 services235 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.
214 services146 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.
197 services149 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.
169 services166 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
116 services66 patients

Hospital Affiliations CMS Care Compare

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

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

74.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability97
Improvement Activities40
Cost15.89

Other Providers at the Same Location NPPES 4

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

Optometrist
1922 MONROE ST
DEARBORN, MI 48124
Ophthalmology
1922 MONROE ST
DEARBORN, MI 48124
Ophthalmology
1922 MONROE ST
DEARBORN, MI 48124
Ophthalmology
1922 MONROE ST
DEARBORN, MI 48124

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 Jae Kim's NPI number?

The NPI number for Jae Kim is 1497287635. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Jae Kim located?

Jae Kim practices at 1922 Monroe St, Dearborn, MI 48124. The listed phone number is (313) 274-7540.

What is Jae Kim's specialty?

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

Is Jae Kim enrolled in Medicare?

Yes. Jae 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 Jae Kim accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 5 other insurers list Jae 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 Jae Kim affiliated with any hospitals?

According to CMS data, Jae Kim is affiliated with Harper University Hospital.

When was this NPI record last updated?

The NPPES record for Jae Kim was last updated on February 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.