DR. DONG S KIM M.D.
NPI 1942267992
Specialist in Moreno Valley, CA

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
25.4/100
CMS Quality Rating
11441 HEACOCK ST, STE F, MORENO VALLEY, CA 92557(951) 243-8000(951) 243-9707 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Dong S Kim M.d. NPPES

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

DR. DONG S KIM M.D. (NPI 1942267992) is an individual specialist in Moreno Valley, California, licensed in California (A48273) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1942267992
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. DONG S KIMCredential: M.D.
Location Address11441 HEACOCK ST, STE FMoreno Valley, CA 92557-7907
Mailing Address11441 Heacock St, Ste FMoreno Valley, CA 92557-7907 · (951) 243-8000 · Fax (951) 243-9707
Fax(951) 243-9707
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateApril 26, 2006
Last NPPES UpdateJune 26, 2015
NPI 1942267992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A48273
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11441 HEACOCK ST, Moreno Valley, CA 92557

Other Identifiers 2

Medicare PINBR905ZCA
Medicare UPINE91494CA

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

Dr. Dong S Kim 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 ID446309413
PECOS Enrollment IDI20090521000342
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 15

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,100 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,218 services196 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.
224 services102 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
118 services118 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
100 services100 patients
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.
81 services53 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.

25.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost84.66

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers56 claims141 services$6.21 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers36 claims48 services$1.10 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers20 claims20 services$14.53 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers22 claims22 services$66.27 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers12 claims1,449 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$23.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Internal Medicine
11441 HEACOCK ST, STE. F
MORENO VALLEY, CA 92557
Obstetrics & Gynecology
11441 HEACOCK ST, SUITE B1
MORENO VALLEY, CA 92557
Pediatrics
11441 HEACOCK ST, SUITE C
MORENO VALLEY, CA 92557
Internal Medicine
11441 HEACOCK ST, SUITE C
MORENO VALLEY, CA 92557
Acupuncturist
11441 HEACOCK ST, SUITE #B2
MORENO VALLEY, CA 92557
Pharmacy (Community/Retail Pharmacy)
11441 HEACOCK ST
MORENO VALLEY, CA 92557
Obstetrics & Gynecology
11441 HEACOCK ST, SUITE B-1
MORENO VALLEY, CA 92557
Pharmacy (Community/Retail Pharmacy)
11441 HEACOCK ST, STE D
MORENO VALLEY, CA 92557

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 Dong Kim's NPI number?

The NPI number for Dong Kim is 1942267992. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Dong Kim located?

Dong Kim practices at 11441 Heacock St Ste F, Moreno Valley, CA 92557. The listed phone number is (951) 243-8000.

What is Dong Kim's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Dong Kim enrolled in Medicare?

Yes. Dong Kim 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 Dong Kim was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.