KIM THU TANG M.D.
NPI 1790746147
Dermatology in Lake Forest, CA

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
23832 ROCKFIELD BLVD STE 210, LAKE FOREST, CA 92630(949) 770-8115(949) 770-2017 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim Thu Tang M.d. NPPES

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

KIM THU TANG M.D. (NPI 1790746147) is an individual dermatology provider in Lake Forest, California, licensed in California (G78563) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1992).

NPPES Registry Identity

NPI1790746147
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameKIM THU TANGCredential: M.D.
Location Address23832 ROCKFIELD BLVD STE 210Lake Forest, CA 92630-2876
Mailing Address23832 Rockfield Blvd Ste 210Lake Forest, CA 92630-2876 · (949) 770-8115 · Fax (949) 770-2017
Fax(949) 770-2017
Sole ProprietorYes
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1992
Enumeration DateMarch 28, 2006
Last NPPES UpdateOctober 6, 2020
NPPES CertifiedOctober 6, 2020
NPI 1790746147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · G78563
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
23832 ROCKFIELD BLVD STE 210, Lake Forest, CA 92630

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

Kim Thu Tang 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 ID6901091800
PECOS Enrollment IDI20101117000201
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 40

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,123 services152 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
1,082 services611 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.
1,076 services643 patients
Destruction of skin growth, 15 or more growths 17111
"Destruction of skin growth" refers to a procedure where unwanted skin growths, such as warts or moles, are removed. In this case, 15 or more growths are treated. Techniques may include freezing, burning, or laser therapy. It's a safe, quick process to improve skin health.
1,043 services589 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.
1,021 services426 patients
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280
This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.
545 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92630 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 3

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

Dermatology (MOHS-Micrographic Surgery)
23832 ROCKFIELD BLVD STE 210
LAKE FOREST, CA 92630
Dermatology
23832 ROCKFIELD BLVD STE 210
LAKE FOREST, CA 92630
Dermatology
23832 ROCKFIELD BLVD STE 210
LAKE FOREST, CA 92630

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 Kim Tang's NPI number?

The NPI number for Kim Tang is 1790746147. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Kim Tang located?

Kim Tang practices at 23832 Rockfield Blvd Ste 210, Lake Forest, CA 92630. The listed phone number is (949) 770-8115.

What is Kim Tang's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kim Tang enrolled in Medicare?

Yes. Kim Tang 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.

When was this NPI record last updated?

The NPPES record for Kim Tang was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.