KIM J CORTEZ MD
NPI 1902906605
Internal Medicine in Sumter, SC

Active since September 22, 2006PECOS Enrolled
83.58/100
CMS Quality Rating
129 N WASHINGTON ST, SUMTER, SC 29150(803) 774-1788(803) 774-9113 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kim J Cortez Md NPPES

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

KIM J CORTEZ MD (NPI 1902906605) is an individual internal medicine provider in Sumter, South Carolina, licensed in South Carolina (36528) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902906605
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKIM J CORTEZCredential: MD
Location Address129 N WASHINGTON STSumter, SC 29150-4949
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330
Fax(803) 774-9113
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateDecember 6, 2018
NPI 1902906605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in SC · 36528 Licensed in NY · 227311
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

129 N WASHINGTON ST, Sumter, SC 29150

Other Identifiers 2

Medicaid365287SC
OtherSC3047SC · Medicare

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 (PECOS)

Kim J Cortez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
133 services129 patients
Initial hospital observation care per day, typically 70 minutes 99220
This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
73 services71 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
51 services48 patients
Initial hospital observation care per day, typically 50 minutes 99219
Initial hospital observation care is a service where healthcare professionals monitor your health for about 50 minutes daily. This helps them understand your condition better, plan treatment, and ensure your safety. It's a routine part of hospital care.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29150 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

83.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.33
Promoting Interoperability100
Improvement Activities40
Cost60.95

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.

Nurse Anesthetist, Certified Registered
129 N WASHINGTON ST
SUMTER, SC 29150
Nurse Anesthetist, Certified Registered
129 N WASHINGTON ST
SUMTER, SC 29150
Obstetrics & Gynecology
129 N WASHINGTON ST
SUMTER, SC 29150
Pathology (Anatomic Pathology & Clinical Pathology)
129 N WASHINGTON ST
SUMTER, SC 29150
Pathology (Anatomic Pathology & Clinical Pathology)
129 N WASHINGTON ST
SUMTER, SC 29150
Hospitalist
129 N WASHINGTON ST
SUMTER, SC 29150
Hospitalist
129 N WASHINGTON ST
SUMTER, SC 29150
Internal Medicine (Gastroenterology)
129 N WASHINGTON ST
SUMTER, SC 29150

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 Cortez's NPI number?

The NPI number for Kim Cortez is 1902906605. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Kim Cortez located?

Kim Cortez practices at 129 N Washington St, Sumter, SC 29150. The listed phone number is (803) 774-1788.

What is Kim Cortez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kim Cortez enrolled in Medicare?

Yes. Kim Cortez is registered in the Medicare PECOS enrollment system.

What insurance does Kim Cortez accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Kim Cortez 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.

When was this NPI record last updated?

The NPPES record for Kim Cortez was last updated on December 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.