ELISABETH K SHIM MD
NPI 1518013689
Dermatology in Santa Monica, CA

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1301 20TH ST, SUITE 570, SANTA MONICA, CA 90404(310) 315-0171(310) 828-6647 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elisabeth K Shim Md NPPES

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

ELISABETH K SHIM MD (NPI 1518013689) is an individual dermatology provider in Santa Monica, California, licensed in California (A65723) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1994).

NPPES Registry Identity

NPI1518013689
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameELISABETH K SHIMCredential: MD
Location Address1301 20TH ST, SUITE 570Santa Monica, CA 90404
Mailing Address1301 20th St, Suite 570Santa Monica, CA 90404 · (310) 315-0171 · Fax (310) 828-6647
Fax(310) 828-6647
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1994
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1518013689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A65723
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1301 20TH ST, Santa Monica, CA 90404

Other Identifiers 4

Medicare ID-Type UnspecifiedWA65723BCA
Medicare ID-Type UnspecifiedWA65723ACA
Medicare UPINH02879
OtherA65723CA · Licence

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

Elisabeth K Shim 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 ID4183645849
PECOS Enrollment IDI20051209000625
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 28

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.

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.
1,867 services266 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.
679 services434 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.
493 services329 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.
386 services288 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.
378 services273 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
166 services128 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Plastic Surgery
1301 20TH ST, SUITE 570
SANTA MONICA, CA 90404
Specialist
1301 20TH ST, SUITE 590
SANTA MONICA, CA 90404
Clinic/Center (Primary Care)
1301 20TH ST, SUITE 550
SANTA MONICA, CA 90404
Orthopaedic Surgery (Sports Medicine)
1301 20TH ST, 150
SANTA MONICA, CA 90404
Internal Medicine (Gastroenterology)
1301 20TH ST, SUITE 280
SANTA MONICA, CA 90404
Allergy & Immunology
1301 20TH ST, SUITE 220
SANTA MONICA, CA 90404
Ophthalmology
1301 20TH ST, SUITE 250
SANTA MONICA, CA 90404
Internal Medicine
1301 20TH ST, STE 290
SANTA MONICA, CA 90404

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 Elisabeth Shim's NPI number?

The NPI number for Elisabeth Shim is 1518013689. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Elisabeth Shim located?

Elisabeth Shim practices at 1301 20th St Suite 570, Santa Monica, CA 90404. The listed phone number is (310) 315-0171.

What is Elisabeth Shim's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Elisabeth Shim enrolled in Medicare?

Yes. Elisabeth Shim 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 Elisabeth Shim 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.