DR. HENRY KIM M.D.
NPI 1700868460
Orthopaedic Surgery in South Bend, IN

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
80.67/100
CMS Quality Rating
53880 CARMICHAEL DR, SOUTH BEND, IN 46635(574) 247-9441(574) 247-9442 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Henry Kim M.d. NPPES

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

DR. HENRY KIM M.D. (NPI 1700868460) is an individual orthopaedic surgery provider in South Bend, Indiana, licensed in Indiana (01054019A) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Northwest Health-la Porte, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1700868460
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. HENRY KIMCredential: M.D.
Location Address53880 CARMICHAEL DRSouth Bend, IN 46635-1567
Mailing Address3600 W Bethel AveMuncie, IN 47304-5407
Fax(574) 247-9442
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1995
Enumeration DateNovember 17, 2005
Last NPPES UpdateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
NPI 1700868460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IN · 01054019A
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
53880 CARMICHAEL DR, South Bend, IN 46635

Secondary Practice Locations 3

Location 12349 Lake Ave Ste 201Plymouth, IN 46563-7837 · Phone (574) 247-9441
Location 260160 Bodnar BlvdMishawaka, IN 46544-9338 · Phone (574) 247-9441
Location 3303 S Nappanee St Ste FElkhart, IN 46514-2066 · Phone (574) 247-9441

Other Identifiers 1

Medicaid2003210270AIN

Accepted 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. Henry 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 ID1254468945
PECOS Enrollment IDI20100429000374
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 18

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
888 services138 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
208 services145 patients
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.
201 services144 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
137 services122 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
120 services94 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
115 services113 patients

Hospital Affiliations CMS Care Compare 4

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

Northwest Health-La Porte

Acute Care Hospitals · La Porte, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150006
Location1331 State StreetLa Porte, IN 46350 · La Porte County
Emergency services Birthing friendly

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Unity Physicians Hospital

Acute Care Hospitals · Mishawaka, IN
OwnershipPhysician
CMS Certification Number150177
Location4455 Edison Lakes PkwyMishawaka, IN 46545 · St. Joseph County

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46635 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

80.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality76.3
Promoting Interoperability94
Improvement Activities40
Cost64.27

Reported Quality Measures

Advance Care Plan
97%677 patients4/55-star benchmark: 100%
Breast Cancer Screening
72%424 patients4/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
67%403 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
69%835 patients4/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
90%1,978 patients4/55-star benchmark: 100%
e-Prescribing
97%286 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
82%644 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 93% · 1,006 patients
Patients screened: 97% · 1,006 patients
52%85 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
78%306 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
65%26 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 676 patients
Patients totalRate: 3% · 676 patients
2%676 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
6 suppliers22 claims22 services$51.18 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier56 claims990 services$21.03 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 20

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

Physical Therapy Assistant
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physical Therapist
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physician Assistant
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physical Therapist
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physician Assistant
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Orthopaedic Surgery
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Orthopaedic Surgery
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Orthopaedic Surgery
53880 CARMICHAEL DR
SOUTH BEND, IN 46635

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 Henry Kim's NPI number?

The NPI number for Henry Kim is 1700868460. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Henry Kim located?

Henry Kim practices at 53880 Carmichael Dr, South Bend, IN 46635. The listed phone number is (574) 247-9441.

What is Henry Kim's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Henry Kim enrolled in Medicare?

Yes. Henry 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 Henry Kim accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Henry 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 Henry Kim affiliated with any hospitals?

According to CMS data, Henry Kim is affiliated with Northwest Health-La Porte, Saint Joseph Regional Medical Center, Unity Physicians Hospital and Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Henry Kim was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.