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JEFF J KIM
NPI 1669810479
Surgery - Plastic and Reconstructive Surgery in Saratoga Springs, NY

Active since June 13, 2013PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
211 CHURCH ST, SARATOGA SPRINGS, NY 12866(518) 587-3222 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeff J Kim NPPES

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

JEFF J KIM (NPI 1669810479) is an individual plastic and reconstructive surgery provider in Saratoga Springs, New York, licensed in New York (307020) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and is a graduate of University Of California, Irvine, California College Of Medicine (2013).

NPPES Registry Identity

NPI1669810479
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameJEFF J KIM
Location Address211 CHURCH STSaratoga Springs, NY 12866-1090
Mailing Address770 Welch RdPalo Alto, CA 94304-1511 · (650) 723-7001
Phone(518) 587-3222
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2013
Enumeration DateJune 13, 2013
Last NPPES UpdateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
✔ NPI 1669810479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in NY · 307020
Definition
A surgeon who specializes in plastic and reconstructive surgery.
211 CHURCH ST, Saratoga Springs, NY 12866
Open in Google Maps ↗

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

Jeff J Kim 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 ID3173826302
PECOS Enrollment IDI20201020000702
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

4

Medicare enrollment records show Jeff Kim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saratoga Hospital
Same address
General Acute Care Hospital
211 CHURCH ST
Saratoga Springs, NY 12866
  • Reassigned Medicare billing, New York enrollment
  • 456 clinicians in this Medicare group
NPI 1073569331 (518) 587-3222
Saratoga Regional Medical , P.C
1.3 mi
Primary Care
15 MAPLE DELL STE 1
Saratoga Springs, NY 12866
  • Reassigned Medicare billing, New York enrollment
  • 98 clinicians in this Medicare group
NPI 1043891096 (518) 886-5112
Glens Falls Hospital Inc.
17 mi
Family Medicine
100 PARK ST
Glens Falls, NY 12801
  • Reassigned Medicare billing, New York enrollment
  • 201 clinicians in this Medicare group
NPI 1336198217 (518) 926-6999
Albany Medical College
30 mi
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
NPI 1497921688 (518) 262-9600

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

Hospital Affiliations CMS Care Compare 2

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

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

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.

ROBERT I GOGUEN
Counselor (Mental Health)
211 CHURCH ST, CRAMER HOUSE
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 584-9030
JEAN R MISCHLER NP
Nurse Practitioner
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 583-8499
MISS ANDREA CATHERINE KELLY OTR/L
Occupational Therapist
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 368-1925
DR. MARINA ROZIK MD
Student in an Organized Health Care Education/Training Program
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 583-8797
DR. LAURA MCMAHON MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 583-8400
KATHERINE ANN KEARINS HOGAN
Nurse Practitioner (Family)
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 587-3222
DR. ROBERT R PULLING MD
Internal Medicine
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 587-1141
DR. BERT W PYLE III MD
Family Medicine
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 587-1141

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 Jeff Kim's NPI number?

The NPI number for Jeff Kim is 1669810479. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is Jeff Kim located?

Jeff Kim practices at 211 Church St, Saratoga Springs, NY 12866. The listed phone number is (518) 587-3222.

What is Jeff Kim's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Jeff Kim enrolled in Medicare?

Yes. Jeff 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 Jeff Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeff Kim reassigns Medicare benefits to 4 organizations: Saratoga Hospital (Saratoga Springs, NY), Saratoga Regional Medical , P.C (Saratoga Springs, NY), Glens Falls Hospital Inc. (Glens Falls, NY) and Albany Medical College (Albany, NY). 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 Jeff Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jeff Kim affiliated with any hospitals?

According to CMS data, Jeff Kim is affiliated with Glens Falls Hospital and Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Jeff Kim was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.