DR. SUNGEUN KIM M.D.
NPI 1649699497
Pathology - Anatomic Pathology & Clinical Pathology in Buffalo, NY

Active since April 09, 2014PECOS EnrolledAccepts Medicare Assignment
95.38/100
CMS Quality Rating
565 ABBOTT RD, BUFFALO, NY 14220(716) 250-9235 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 2, 2022, Feb 8, 2021, Jul 17, 2019 (3 updates tracked since 2019).

About Dr. Sungeun Kim M.d. NPPES

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

DR. SUNGEUN KIM M.D. (NPI 1649699497) is an individual anatomic pathology & clinical pathology provider in Buffalo, New York, licensed in New York (291227) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Newark-wayne Community Hospital, and maintains a secondary practice location in Albany.

NPPES Registry Identity

NPI1649699497
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. SUNGEUN KIMCredential: M.D.
Location Address565 ABBOTT RDBuffalo, NY 14220-2039
Mailing Address20 Northpointe Pkwy Ste 100Amherst, NY 14228-6802 · (716) 250-9235 · Fax (716) 250-9241
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateApril 9, 2014
Last NPPES UpdateMay 2, 20223 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
✔ NPI 1649699497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in NY · 291227
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
565 ABBOTT RD, Buffalo, NY 14220

Secondary Practice Location 1

Location 147 New Scotland Ave, Department of PathologyAlbany, NY 12208-3412 · Phone (518) 262-3095

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sungeun 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 ID6406189604
PECOS Enrollment IDI20190603001721
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.

Medicare Billing Reassignments

11

Medicare enrollment records show Sungeun Kim reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Skilled Nursing Facility
565 ABBOTT RD
Buffalo, NY 14220
  • Reassigned Medicare billing, New York enrollment
  • 499 clinicians in this Medicare group
General Acute Care Hospital
2605 HARLEM RD
Cheektowaga, NY 14225
  • Reassigned Medicare billing, New York enrollment
  • 515 clinicians in this Medicare group
Anatomic Pathology & Clinical Pathology
2157 MAIN ST
Buffalo, NY 14214
  • Reassigned Medicare billing, New York enrollment
  • 16 clinicians in this Medicare group
Hematology & Oncology
127 NORTH ST, SECOND FLOOR
Batavia, NY 14020
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
Clinical Medical Laboratory
160 ELMGROVE PARK
Rochester, NY 14624
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
Family Medicine
181 LOMB MEMORIAL DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group
General Acute Care Hospital
1200 DRIVING PARK AVE
Newark, NY 14513
  • Reassigned Medicare billing, New York enrollment
  • 679 clinicians in this Medicare group
Critical Access
77 W BARNEY ST
Gouverneur, NY 13642
  • Reassigned Medicare billing, New York enrollment
  • 143 clinicians in this Medicare group
General Acute Care Hospital
50 LEROY STREET
Potsdam, NY 13676
  • Reassigned Medicare billing, New York enrollment
  • 414 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

Protein measurement, serum 84165
A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.
220 services179 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
104 services25 patients
Protein measurement, body fluid 84166
A protein measurement of body fluid is a test that gauges the amount of proteins in your fluids. This analysis helps in detecting various health conditions. It's done via a simple sample collection process, usually from blood or urine, in a safe and painless manner.
73 services57 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
70 services37 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
41 services19 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
36 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Newark-Wayne Community Hospital

Acute Care Hospitals · Newark, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330030
Location111 Driving Park AvenueNewark, NY 14513 · Wayne County
Emergency services Birthing friendly

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330073
Location127 North StreetBatavia, NY 14020 · Genesee County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

Clifton Springs Hospital And Clinic

Acute Care Hospitals · Clifton Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330265
Location2 Coulter RoadClifton Springs, NY 14432 · Ontario County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14220 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.26
Promoting Interoperability99.17
Improvement Activities40

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.

Pharmacist
565 ABBOTT RD
BUFFALO, NY 14220
Registered Nurse
565 ABBOTT RD
BUFFALO, NY 14220
Physician Assistant
565 ABBOTT RD
BUFFALO, NY 14220
Nurse Practitioner
565 ABBOTT RD
BUFFALO, NY 14220
Physician Assistant
565 ABBOTT RD, @ MERCY HOSPITAL OF BUFFALO
BUFFALO, NY 14220
Student in an Organized Health Care Education/Training Program
565 ABBOTT RD
BUFFALO, NY 14220
Nurse Practitioner (Adult Health)
565 ABBOTT RD
BUFFALO, NY 14220
Physician Assistant (Medical)
565 ABBOTT RD
BUFFALO, NY 14220

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 Sungeun Kim's NPI number?

The NPI number for Sungeun Kim is 1649699497. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Where is Sungeun Kim located?

Sungeun Kim practices at 565 Abbott Rd, Buffalo, NY 14220. The listed phone number is (716) 250-9235.

What is Sungeun Kim's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Sungeun Kim enrolled in Medicare?

Yes. Sungeun 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.

Which organizations bill Medicare for Sungeun Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sungeun Kim reassigns Medicare benefits to 11 organizations: Mercy Hospital Of Buffalo (Buffalo, NY), Sisters Of Charity Hospital Of Buffalo New York (Cheektowaga, NY), Eastern Great Lakes Pathology PC (Buffalo, NY), United Memorial Medical Center (Batavia, NY), The Unity Hospital Of Rochester (Rochester, NY) and 6 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sungeun Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sungeun Kim affiliated with any hospitals?

According to CMS data, Sungeun Kim is affiliated with Newark-Wayne Community Hospital, United Memorial Medical Center, Rochester General Hospital, Unity Hospital and Clifton Springs Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Sungeun Kim was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.