DR. DAVID SUNGMIN KIM M.D.
NPI 1558568634
Ophthalmology in Napa, CA

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment
83.72/100
CMS Quality Rating
895 TRANCAS ST, NAPA, CA 94558(707) 252-2020 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David Sungmin Kim M.d. NPPES

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

DR. DAVID SUNGMIN KIM M.D. (NPI 1558568634) is an individual ophthalmology provider in Napa, California, licensed in California (A105173) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2007).

NPPES Registry Identity

NPI1558568634
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. DAVID SUNGMIN KIMCredential: M.D.
Location Address895 TRANCAS STNapa, CA 94558-3040
Mailing Address895 Trancas StNapa, CA 94558-3040 · (707) 252-2020
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2007
Enumeration DateJuly 2, 2007
Last NPPES UpdateMarch 17, 2015
NPI 1558568634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A105173
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.
895 TRANCAS ST, Napa, CA 94558

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

Dr. David Sungmin 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 ID5991853210
PECOS Enrollment IDI20090424000400
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 24

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
21,241 services57 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.
1,578 services770 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.
1,209 services389 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
782 services125 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.
647 services456 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
620 services70 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94558 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
$145.99 typical visit price
range $65.08 – $192.16
Typical copayment $36.49 (range $16.27 – $48.04)
Most-billed visit code 99204
Established Patient
$80.32 typical visit price
range $21.86 – $157.83
Typical copayment $20.08 (range $5.46 – $39.45)
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.

83.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost30.35

Reported Quality Measures

Diabetes: Eye Exam
100%613 patients5/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
99%102 patients
Glaucoma Intraocular Pressure Reduction
97%705 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%55 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%258 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,729 patients
Patients totalRate: 0% · 1,729 patients
0%1,729 patients5/55-star benchmark: 100%
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 9

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

Otolaryngology
895 TRANCAS ST
NAPA, CA 94558
Optometrist
895 TRANCAS ST
NAPA, CA 94558
Optometrist
895 TRANCAS ST
NAPA, CA 94558
Optometrist
895 TRANCAS ST
NAPA, CA 94558
Ophthalmology
895 TRANCAS ST
NAPA, CA 94558
Ophthalmology
895 TRANCAS ST
NAPA, CA 94558
Dentist
895 TRANCAS ST
NAPA, CA 94558
Optometrist
895 TRANCAS ST
NAPA, CA 94558

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 David Kim's NPI number?

The NPI number for David Kim is 1558568634. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is David Kim located?

David Kim practices at 895 Trancas St, Napa, CA 94558. The listed phone number is (707) 252-2020.

What is David Kim's specialty?

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

Is David Kim enrolled in Medicare?

Yes. David 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 David Kim accept?

Health plans from Providence Health Plan list David 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.

When was this NPI record last updated?

The NPPES record for David Kim was last updated on March 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.