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STEPHANY KIM MD
NPI 1629768288
Surgery in Charleston, SC

Active since May 08, 2023PECOS Enrolled
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425(843) 792-4607 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2023, May 8, 2023 (2 updates tracked since 2023).

About Stephany Kim Md NPPES

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

STEPHANY KIM MD (NPI 1629768288) is an individual surgery provider in Charleston, South Carolina, licensed in South Carolina (LL90320) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629768288
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameSTEPHANY KIMCredential: MD
Location Address169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333Charleston, SC 29425
Mailing Address169 Ashley Avenue Room 202 Main Hospital, Msc333Charleston, SC 29425
Phone(843) 792-4607
Sole ProprietorNo
Enumeration DateMay 8, 2023
Last NPPES UpdateJune 26, 20232 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
✔ NPI 1629768288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in SC · LL90320
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.
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, Charleston, SC 29425
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 29425 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 10

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

DR. BRIAN NICHOLAS BOEHM MD, MBA
Anesthesiology
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-2322
DR. JOSEPH ANWAR ABRO MD
Anesthesiology
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-2322
SCOTT BRANDON MD
Internal Medicine
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-4074
COLTON SOUTHARD-GOEBEL MD
Anesthesiology
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-1932
DR. LAURA GAYLE BURDETTE MD
Psychiatry & Neurology (Psychiatry)
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-9888
LAWRENCE CASTILLO MD
Psychiatry & Neurology (Psychiatry)
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-0192
ASHLEA WILLIS DMD
Dentist (Pediatric Dentistry)
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-3916
AMY MICHELLE SCHATTEL MD
Psychiatry & Neurology (Psychiatry)
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-9162

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 Stephany Kim's NPI number?

The NPI number for Stephany Kim is 1629768288. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Stephany Kim located?

Stephany Kim practices at 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425. The listed phone number is (843) 792-4607.

What is Stephany Kim's specialty?

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

Is Stephany Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stephany Kim was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.