JOON SHIM M.D.
Accepted Insurance for NPI 1891840708
Surgery in Dayton, OH

Active since January 24, 2007PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
30 E APPLE ST, DAYTON, OH 45409(937) 245-7100(937) 245-7999 Get Directions

NPPES record last updated: February 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2017, Aug 23, 2016 (2 updates tracked since 2016).

Accepted Insurance & Health Plans Health Insurance Marketplace

Marketplace plan participation on file for this provider · 2026 plan year

JOON SHIM M.D., a surgery provider in Dayton, OH, is listed as in-network for 19 health insurance plans from CareSource. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.

Verify before you schedule: insurance networks change throughout the plan year. Confirm coverage directly with your insurance company or this practice’s billing office before booking an appointment.
1
Insurance Company
19
Plan Options
1
Network Type
19 plans · 19 plan IDs · 2026 plan year

CareSource

19 plans · Individual market · listed as Preferred

Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness

BronzeHMO
Plan ID77552OH0020204

Bronze 7500 $25 Generic Drugs

BronzeHMO
Plan ID77552OH0010204

Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness

GoldHMO
Plan ID77552OH0020212

Core Gold 1500 $10 Generic Drugs

GoldHMO
Plan ID77552OH0010212

Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

GoldHMO
Plan ID77552OH0020210

Diabetes Gold 3000 $0 Chronic Care Drugs & Services

GoldHMO
Plan ID77552OH0010210

Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

SilverHMO
Plan ID77552OH0020209

Diabetes Silver 5000 $0 Chronic Care Drugs & Services

SilverHMO
Plan ID77552OH0010209

Gold 2000 $15 Generic Drugs + Adult Vision & Fitness

GoldHMO
Plan ID77552OH0020202

Gold 2000 $15 Generic Drugs

GoldHMO
Plan ID77552OH0010202

HDHP Preventive Silver 5500 $0 Chronic Care Drugs

SilverHMO
Plan ID77552OH0010219

Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

GoldHMO
Plan ID77552OH0020215

Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services

GoldHMO
Plan ID77552OH0010215

Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

SilverHMO
Plan ID77552OH0020218

Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services

SilverHMO
Plan ID77552OH0010218

Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness

SilverHMO
Plan ID77552OH0020201

Low Premium Silver 6200 $3 Generic Drugs

SilverHMO
Plan ID77552OH0010201

Silver 6000 $20 Generic Drugs + Adult Vision & Fitness

SilverHMO
Plan ID77552OH0020203

Silver 6000 $20 Generic Drugs

SilverHMO
Plan ID77552OH0010203
No plans match your current filters. Clear filters to see the full list.

Coverage Questions FAQs

Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.

What insurance does JOON SHIM M.D. accept?

Marketplace files for the 2026 plan year list JOON SHIM M.D. as in-network for 19 plans from CareSource. The full list above shows each plan's metal level, network type, and plan IDs.

Is JOON SHIM M.D. enrolled in Medicare?

Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.

What network types does JOON SHIM M.D. participate in?

The accepted plans include 19 HMO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists.

Where does this insurance data come from and how current is it?

Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.