KIM HOANG TONG FNP
NPI 1861069874
Nurse Practitioner in La Jolla, CA

Active since June 08, 2021PECOS EnrolledAccepts Medicare Assignment
90.56/100
CMS Quality Rating
3855 HEALTH SCIENCES DR, LA JOLLA, CA 92093(800) 926-8273 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 10, 2024, Aug 29, 2023, Dec 1, 2021 and 1 more (4 updates tracked since 2021).

About Kim Hoang Tong Fnp NPPES

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

KIM HOANG TONG FNP (NPI 1861069874) is an individual nurse practitioner in La Jolla, California, licensed in California (NP95016959) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861069874
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIM HOANG TONGCredential: FNP
Location Address3855 HEALTH SCIENCES DRLa Jolla, CA 92093-6002
Mailing AddressFile 57326Los Angeles, CA 90074-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 8, 2021
Last NPPES UpdateJuly 10, 20244 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
NPI 1861069874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · NP95016959
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95016959 (CA)
3855 HEALTH SCIENCES DR, La Jolla, CA 92093

Secondary Practice Locations 4

Location 12067 W Vista Way Ste 295Vista, CA 92083-6002 · Phone (760) 298-5787
Location 210710 N Torrey Pines RdLA Jolla, CA 92037-1035 · Phone (858) 554-9489
Location 3200 W Arbor DrSan Diego, CA 92103-9000 · Phone (800) 926-8273
Location 4408 Dickinson StSan Diego, CA 92103-6902 · Phone (800) 926-8273

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 Hoang Tong Fnp 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 ID2567852551
PECOS Enrollment IDI20211206002816
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 3

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 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.
65 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
58 services18 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92093 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

90.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.12
Promoting Interoperability90
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.

Surgery
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
Nurse Practitioner (Family)
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
Nurse Practitioner
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
Internal Medicine (Hospice and Palliative Medicine)
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
Pharmacist
3855 HEALTH SCIENCES DR, RM1036 (MAIL CODE 0845)
LA JOLLA, CA 92093
Student in an Organized Health Care Education/Training Program
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
Psychiatry & Neurology (Neurology)
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
Pharmacist (Oncology)
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093

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 Tong's NPI number?

The NPI number for Kim Tong is 1861069874. It was assigned to this individual provider in the NPPES registry on June 8, 2021.

Where is Kim Tong located?

Kim Tong practices at 3855 Health Sciences Dr, La Jolla, CA 92093. The listed phone number is (800) 926-8273.

What is Kim Tong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kim Tong enrolled in Medicare?

Yes. Kim Tong 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 Tong was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.