ERIC E. KIM MD
NPI 1578660916
Internal Medicine in Clearlake, CA

Active since September 20, 2006PECOS Enrolled
78.28/100
CMS Quality Rating
4456 MANZANITA AVE, SUITE# C, CLEARLAKE, CA 95422(707) 994-9191(707) 994-9090 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eric E. Kim Md NPPES

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

ERIC E. KIM MD (NPI 1578660916) is an individual internal medicine provider in Clearlake, California, licensed in California (A64242) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1994).

NPPES Registry Identity

NPI1578660916
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameERIC E. KIMCredential: MD
Location Address4456 MANZANITA AVE, SUITE# CClearlake, CA 95422-7937
Mailing AddressPo Box 1500Clearlake, CA 95422-1500 · (707) 994-9191 · Fax (707) 994-9090
Fax(707) 994-9090
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 1994
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2010
NPI 1578660916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A64242
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4456 MANZANITA AVE, Clearlake, CA 95422

Other Identifiers 4

Medicare UPING74803CA
Medicaid00A642420CA
Other2113132CA · Medi-cal Upin #
Medicare PINCL280ACA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Eric E. Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486793551
PECOS Enrollment IDI20091202000616
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 2

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.

Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
215 services90 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
113 services73 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95422 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
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.

78.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.31
Promoting Interoperability93
Improvement Activities40
Cost45.47

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers47 claims130 services$6.10 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims29 services$1.09 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$5.53 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers15 claims7,900 services$0.39 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier61 claims62 services$18.86 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Behavior Analyst
4456 MANZANITA AVE
CLEARLAKE, CA 95422
Behavior Analyst
4456 MANZANITA AVE
CLEARLAKE, CA 95422
Behavior Technician
4456 MANZANITA AVE
CLEARLAKE, CA 95422

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 Eric Kim's NPI number?

The NPI number for Eric Kim is 1578660916. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Eric Kim located?

Eric Kim practices at 4456 Manzanita Ave Suite# C, Clearlake, CA 95422. The listed phone number is (707) 994-9191.

What is Eric Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Eric Kim enrolled in Medicare?

Yes. Eric Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eric Kim was last updated on July 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.