PETER JOO KIM MD
NPI 1619186053
Surgery in Little Rock, AR

Q: What is Peter Kim's NPI number?

The NPI number for Peter Kim is 1619186053. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Peter Kim's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Kim was last updated on May 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment

9500 KANIS RD, SUITE 501, LITTLE ROCK, AR 72205(501) 227-9080(501) 227-0410 Get Directions Write a Review

NPPES record last updated: May 14, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Peter Joo Kim Md NPPES

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

PETER JOO KIM MD (NPI 1619186053) is an individual surgery provider in Little Rock, Arkansas, licensed in Arkansas (E5116) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2002).

NPPES Registry Identity

NPI1619186053

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NamePETER JOO KIMCredential: MD

Location Address9500 KANIS RD, SUITE 501Little Rock, AR 72205-6324

Mailing Address9500 Kanis Rd, Suite 501Little Rock, AR 72205-6324 · (501) 227-9080 · Fax (501) 227-0410

Phone(501) 227-9080

Fax(501) 227-0410

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2002

Enumeration DateMay 22, 2007

Last NPPES UpdateMay 14, 2012

✔ NPI 1619186053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in AR · E5116

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

9500 KANIS RD, Little Rock, AR 72205

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Other Identifiers 2

Medicaid164967001AR

Medicare PIN5N883AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Peter Joo 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 ID244321578

PECOS Enrollment IDI20070801000218

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.

Follow-up hospital inpatient care per day, typically 25 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

188 services76 patients

New patient office or other outpatient visit, 45-59 minutes 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

170 services170 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.

117 services96 patients

Follow-up hospital inpatient care per day, typically 35 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

87 services34 patients

New patient office or other outpatient visit, 30-44 minutes 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.

57 services57 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

55 services51 patients

Initial hospital inpatient care per day, typically 70 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

53 services53 patients

Ultrasonic guidance during surgery 76998

Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.

51 services47 patients

Other procedure on stomach using an endoscope 43659

An endoscopic procedure on the stomach involves a flexible tube with a camera, called an endoscope, inserted through the mouth to examine the stomach. It helps diagnose and sometimes treat stomach-related issues. It's safe and usually painless.

23 services23 patients

Initial hospital inpatient care per day, typically 50 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

23 services21 patients

Removal or exploration of parathyroid glands 60500

The procedure for removal or exploration of parathyroid glands involves a surgeon making a small incision in the neck to locate and remove one or more of the tiny parathyroid glands. These glands control calcium levels in the body. This procedure helps treat conditions like hyperparathyroidism.

21 services21 patients

Repair of hernia of muscle at esophagus and stomach using an endoscope 43281

This procedure fixes a hernia, an area where your stomach and esophagus muscles have weakened. Using an endoscope, a thin tube with a camera, the doctor can see and repair the hernia without large incisions, promoting quicker recovery.

19 services19 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

19 services19 patients

Insertion of abdominal cavity tube using an endoscope 49324

This procedure involves placing a tube into your abdominal cavity with the aid of an endoscope, a thin, flexible tube with a light and camera. It helps drain fluid or air, administer medication, or aid in diagnosis. It's done under sedation for comfort.

18 services18 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

15 services15 patients

Relocation of forearm vein with connection to arm artery for hemodialysis 36820

This procedure reroutes a forearm vein to connect directly with an arm artery, creating a larger, stronger vessel for hemodialysis. This process, called a fistula, allows for easier, safer, and more effective removal and return of blood during dialysis treatments.

14 services14 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

11 services11 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

11 services11 patients

Suture of internal abdominal lining using an endoscope 49326

This is a minimally invasive procedure where an endoscope, a thin tube with a camera, is used to stitch the internal lining of your abdomen. This technique allows for quicker recovery and less discomfort.

11 services11 patients

Removal of abdominal cavity tube 49422

The removal of an abdominal cavity tube is a medical procedure that involves taking out a tube previously placed in your abdomen. This tube may have been used to drain fluid, air, or pus from your abdominal area. The process is safe, typically quick, and done by a healthcare professional.

11 services11 patients

Melanoma (skin cancer) excision NAN03

Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.

0 services1 patient

Upper gastrointestinal (GI) endoscopy for acid reflux NAN12

An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.

0 services21 patients

Hernia repair (minimally invasive) NAN16

Hernia repair is a surgery to fix a hernia - a condition where an organ pushes through an opening in the muscle or tissue that holds it in place. Minimally invasive hernia repair involves small incisions, a tiny camera, and special surgical tools. This method often leads to quicker recovery, less pain, and reduced scarring compared to traditional surgery.

0 services24 patients

Hernia repair - groin (open) NAN19

Hernia repair in the groin area (open) is a surgical procedure to fix a bulge or protrusion, caused by internal tissues pushing through a weak spot in your abdominal wall. In this operation, a small incision is made in the groin area. The protruding tissue is then placed back into the abdomen, and the weakened area is reinforced with stitches or a mesh.

0 services1 patient

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

1%304 patients1/55-star benchmark: 92%

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

84%352 patients4/55-star benchmark: 100%

Cervical Cancer Screening

Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…

1%332 patients

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%1,683 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

97%242 patients4/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

22%748 patients2/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%813 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

41%943 patients2/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

19%853 patients1/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 97% · 295 patients

84%140 patients4/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

69%943 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

1%943 patients1/55-star benchmark: 89%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 312 patients

0%325 patients5/55-star benchmark: 100%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

15%943 patients

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 20

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

THE SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

9500 KANIS RD, SUITE 401
LITTLE ROCK, AR 72205

Pulaski County (501) 227-9088

DR. ALFRED SCOTT MAROTTI MD

Surgery

9500 KANIS RD, STE 501
LITTLE ROCK, AR 72205

Pulaski County (501) 227-9080

DR. MARK R GIBBS MD

Surgery

9500 KANIS RD, STE 501
LITTLE ROCK, AR 72205

Pulaski County (501) 227-9080

DR. CLINTON T HUTCHINSON M.D.

Obstetrics & Gynecology

9500 KANIS RD, STE 200
LITTLE ROCK, AR 72205

Pulaski County (501) 224-6699

SURGICAL CLINIC, PA

Specialist

9500 KANIS RD, SUITE 501
LITTLE ROCK, AR 72205

Pulaski County (501) 227-9080

RICHARD A. WYATT M.D.

Obstetrics & Gynecology

9500 KANIS RD, SUITE 200
LITTLE ROCK, AR 72205

Pulaski County (501) 224-6699

WILLIAM L GARNER M.D.

Obstetrics & Gynecology

9500 KANIS RD, STE 200
LITTLE ROCK, AR 72205

Pulaski County (501) 224-6699

DR. DAVID G DAVILA M.D.

Internal Medicine (Sleep Medicine)

9500 KANIS RD, HICKINGBOTHAM OUTPATIENT CENTER
LITTLE ROCK, AR 72205

Pulaski County (501) 202-1902

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 Peter Kim's NPI number?

The NPI number for Peter Kim is 1619186053. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Peter Kim located?

Peter Kim practices at 9500 Kanis Rd Suite 501, Little Rock, AR 72205. The listed phone number is (501) 227-9080.

What is Peter Kim's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Peter Kim enrolled in Medicare?

Yes. Peter 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 Peter Kim accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Peter 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 Peter Kim was last updated on May 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.