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DR. GENE KIM M.D.
NPI 1639332372
Ophthalmology in Austin, TX

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment
71.53/100
CMS Quality Rating
1601 TRINITY ST, AUSTIN, TX 78712(833) 882-2737(512) 495-5680 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gene Kim M.d. NPPES

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

DR. GENE KIM M.D. (NPI 1639332372) is an individual ophthalmology provider in Austin, Texas, licensed in Texas (P4334) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1639332372
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. GENE KIMCredential: M.D.
Location Address1601 TRINITY STAustin, TX 78712-1765
Mailing Address1601 Trinity StAustin, TX 78712-1765 · (833) 882-2737 · Fax (512) 495-5680
Phone(833) 882-2737
Fax(512) 495-5680
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2007
Enumeration DateJuly 2, 2008
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1639332372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · P4334
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.
1601 TRINITY ST, Austin, TX 78712
Open in Google Maps ↗

Secondary Practice Location 1

Location 16400 Fannin St, Suite 1800Houston, TX 77030-1521 · Phone (713) 559-5200 · Fax (713) 795-0533

Other Identifiers 2

Other306741502TX · Cshcn
Medicaid306741501TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, 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

Dr. Gene 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 ID2062681521
PECOS Enrollment IDI20121010000502
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 9

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.

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.
121 services68 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
65 services34 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
41 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
32 services32 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
28 services22 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
27 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78712 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

71.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.85
Improvement Activities40
Cost69.55

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.

BENJAMIN JAMES EHRENFELD LCSW
Social Worker (Clinical)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (512) 495-5300
ROBERT FEINSTEIN MD
Psychiatry & Neurology (Psychiatry)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (833) 882-2737
DR. VEENA A PATEL M.D.
Internal Medicine (Rheumatology)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (833) 882-2737
FAHEEM MAHOMED M.D.
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (512) 913-5011
SUE GAIL ECKHARDT MD
Internal Medicine (Medical Oncology)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (512) 495-5512
MS. ERIN ELIZABETH LOPEZ PA-C
Physician Assistant (Medical)
1601 TRINITY ST, SUITE 704
AUSTIN, TX 78712
Travis County (512) 324-8320
AARON BRAVERMAN LCSW
Social Worker (Clinical)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (833) 882-2737
ANNA CAPASSO MD
Internal Medicine (Medical Oncology)
1601 TRINITY ST
AUSTIN, TX 78712
Travis County (833) 882-2737

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 Gene Kim's NPI number?

The NPI number for Gene Kim is 1639332372. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Gene Kim located?

Gene Kim practices at 1601 Trinity St, Austin, TX 78712. The listed phone number is (833) 882-2737.

What is Gene Kim's specialty?

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

Is Gene Kim enrolled in Medicare?

Yes. Gene 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 Gene Kim accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Gene 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.

Is Gene Kim affiliated with any hospitals?

According to CMS data, Gene Kim is affiliated with Ascension Seton Medical Center Austin.

When was this NPI record last updated?

The NPPES record for Gene Kim was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.