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CAROLYN S IM
NPI 1912550989
Physician Assistant - Surgical in Englewood, CO

Active since July 19, 2019PECOS EnrolledAccepts Medicare Assignment
88.85/100
CMS Quality Rating
3501 S CLARKSON ST, ENGLEWOOD, CO 80113(303) 783-8844(303) 783-2002 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2023, Jul 14, 2022, Feb 9, 2022 and 4 more (7 updates tracked since 2019).

About Carolyn S Im NPPES

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

CAROLYN S IM (NPI 1912550989) is an individual surgical provider in Englewood, Colorado and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1912550989
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCAROLYN S IM
Location Address3501 S CLARKSON STEnglewood, CO 80113-3916
Mailing Address3501 S Clarkson StEnglewood, CO 80113-3916 · (303) 783-8844 · Fax (303) 783-2002
Phone(303) 783-8844
Fax(303) 783-2002
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 19, 2019
Last NPPES UpdateMarch 20, 20247 updates tracked since enumeration
NPPES CertifiedMarch 20, 2024
✔ NPI 1912550989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA.0006728 (CO)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA.0006728 (CO)
3501 S CLARKSON ST, Englewood, CO 80113
Open in Google Maps ↗

Other Identifiers 1

Medicaid100096114WI

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

Carolyn S Im 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 ID4183059694
PECOS Enrollment IDI20220215000736
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services13 patients

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.

88.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.17
Promoting Interoperability100
Improvement Activities40
Cost71.69

Other Providers at the Same Location NPPES 7

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

NATALIE LUCILLE TANNENBAUM
Physician Assistant (Surgical)
3501 S CLARKSON ST
ENGLEWOOD, CO 80113
Arapahoe County (303) 783-8844
MITCHELL TIEDKE PA
Physician Assistant (Surgical)
3501 S CLARKSON ST
ENGLEWOOD, CO 80113
Arapahoe County (763) 381-7160
ORTHO ONE COLORADO, LLC
Orthopaedic Surgery
3501 S CLARKSON ST
ENGLEWOOD, CO 80113
Arapahoe County (303) 594-7102
DANIELLE CRAWFORD PA-C
Physician Assistant (Medical)
3501 S CLARKSON ST
ENGLEWOOD, CO 80113
Arapahoe County (303) 783-8844
NEURO ON CALL PLLC
Neurological Surgery
3501 S CLARKSON ST
ENGLEWOOD, CO 80113
Arapahoe County (720) 588-9130
QUALCALL PLLC
Neurological Surgery
3501 S CLARKSON ST
ENGLEWOOD, CO 80113
Arapahoe County (720) 583-3442
KENDRA JUSTINE YAKOBSON PA-C
Physician Assistant (Surgical)
3501 S CLARKSON ST
ENGLEWOOD, CO 80113
Arapahoe County (303) 783-8844

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 Carolyn Im's NPI number?

The NPI number for Carolyn Im is 1912550989. It was assigned to this individual provider in the NPPES registry on July 19, 2019.

Where is Carolyn Im located?

Carolyn Im practices at 3501 S Clarkson St, Englewood, CO 80113. The listed phone number is (303) 783-8844.

What is Carolyn Im's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Carolyn Im enrolled in Medicare?

Yes. Carolyn Im 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 Carolyn Im was last updated on March 20, 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.