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MISUK AGNES KIM M.D.
NPI 1508017716
Obstetrics & Gynecology in Annandale, VA

Active since October 07, 2008PECOS EnrolledAccepts Medicare Assignment
4308 EVERGREEN LN, STE F, ANNANDALE, VA 22003(703) 658-8282(703) 658-8283 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Misuk Agnes Kim M.d. NPPES

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

MISUK AGNES KIM M.D. (NPI 1508017716) is an individual obstetrics & gynecology provider in Annandale, Virginia, licensed in Virginia (0101244491) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1508017716
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMISUK AGNES KIMCredential: M.D.
Location Address4308 EVERGREEN LN, STE FAnnandale, VA 22003-3276
Mailing Address4304 Evergreen Ln Ste 101Annandale, VA 22003-3216 · (703) 658-8282 · Fax (703) 658-8283
Phone(703) 658-8282
Fax(703) 658-8283
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 7, 2008
Last NPPES UpdateMay 5, 2020
NPPES CertifiedMay 5, 2020
✔ NPI 1508017716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in VA · 0101244491
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4308 EVERGREEN LN, Annandale, VA 22003
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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

Misuk Agnes 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 ID2860548476
PECOS Enrollment IDI20090923000680
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 3

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 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.
37 services36 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.
25 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22003 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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 Misuk Kim's NPI number?

The NPI number for Misuk Kim is 1508017716. It was assigned to this individual provider in the NPPES registry on October 7, 2008.

Where is Misuk Kim located?

Misuk Kim practices at 4308 Evergreen Ln Ste F, Annandale, VA 22003. The listed phone number is (703) 658-8282.

What is Misuk Kim's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Misuk Kim enrolled in Medicare?

Yes. Misuk 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 Misuk Kim was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.