VICTOR YONGHOON KIM M.D.
NPI 1629092465
Family Medicine in Ellicott City, MD

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
93.05/100
CMS Quality Rating
5074 DORSEY HALL DR STE 104, ELLICOTT CITY, MD 21042(443) 766-3332(410) 480-2336 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 5, 2025, Nov 24, 2024, Aug 28, 2021 and 1 more (4 updates tracked since 2019).

About Victor Yonghoon Kim M.d. NPPES

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

VICTOR YONGHOON KIM M.D. (NPI 1629092465) is an individual family medicine provider in Ellicott City, Maryland, licensed in Maryland (D0051586) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1982).

NPPES Registry Identity

NPI1629092465
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameVICTOR YONGHOON KIMCredential: M.D.
Location Address5074 DORSEY HALL DR STE 104Ellicott City, MD 21042-7794
Mailing Address5074 Dorsey Hall Dr Ste 104Ellicott City, MD 21042-7794 · (443) 766-3332 · Fax (410) 480-2336
Fax(410) 480-2336
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 1982
Enumeration DateJuly 26, 2006
Last NPPES UpdateFebruary 5, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
NPI 1629092465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MD · D0051586
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License D51586 (MD)
5074 DORSEY HALL DR STE 104, Ellicott City, MD 21042

Other Identifiers 2

OtherD0051586MD · Medical License
Medicaid416570500MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Victor Yonghoon 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 ID5193713972
PECOS Enrollment IDI20040501000357
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21042 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

93.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality86.11
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
8 suppliers26 claims45 services$4.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers18 claims18 services$0.82 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.

Counselor (Professional)
5074 DORSEY HALL DR STE 104
ELLICOTT CITY, MD 21042
Family Medicine
5074 DORSEY HALL DR STE 104
ELLICOTT CITY, MD 21042
Massage Therapist
5074 DORSEY HALL DR STE 104
ELLICOTT CITY, MD 21042

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629092465, enumerated as an "individual" on July 26, 2006.

The provider is located at 5074 DORSEY HALL DR STE 104 ELLICOTT CITY, MD 21042 and the phone number is (443) 766-3332.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.