MR. SAMUEL TAE KIM PA-C
NPI 1962832477
Physician Assistant in Gainesville, FL

Active since November 19, 2013PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
1515 SW ARCHER RD, GAINESVILLE, FL 32608(352) 733-0800 Get Directions Write a Review

NPPES record last updated: January 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Samuel Tae Kim Pa-c NPPES

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

MR. SAMUEL TAE KIM PA-C (NPI 1962832477) is an individual physician assistant in Gainesville, Florida, licensed in Florida (PA9107565) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1962832477
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SAMUEL TAE KIMCredential: PA-C
Location Address1515 SW ARCHER RDGainesville, FL 32608-1134
Mailing Address3800 Sw 34th St, Apt S174Gainesville, FL 32608-6562 · (407) 739-4009
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 19, 2013
Last NPPES UpdateJanuary 14, 2014
NPI 1962832477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9107565
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1515 SW ARCHER RD, Gainesville, FL 32608

Other Identifiers 2

Medicare PINHQ819ZFL
Medicaid010389300FL

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

Mr. Samuel Tae Kim Pa-c 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 ID9032347620
PECOS Enrollment IDI20140103000944
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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
37 services37 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
29 services29 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32608 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

Registered Nurse (Critical Care Medicine)
1515 SW ARCHER RD
GAINESVILLE, FL 32608
Student in an Organized Health Care Education/Training Program
1515 SW ARCHER RD
GAINESVILLE, FL 32608
Nurse Practitioner (Family)
1515 SW ARCHER RD
GAINESVILLE, FL 32608
Student in an Organized Health Care Education/Training Program
1515 SW ARCHER RD
GAINESVILLE, FL 32608
Emergency Medicine
1515 SW ARCHER RD
GAINESVILLE, FL 32608
Nurse Anesthetist, Certified Registered
1515 SW ARCHER RD
GAINESVILLE, FL 32608
Dietitian, Registered
1515 SW ARCHER RD
GAINESVILLE, FL 32608
Nurse Practitioner (Family)
1515 SW ARCHER RD
GAINESVILLE, FL 32608

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 Samuel Kim's NPI number?

The NPI number for Samuel Kim is 1962832477. It was assigned to this individual provider in the NPPES registry on November 19, 2013.

Where is Samuel Kim located?

Samuel Kim practices at 1515 SW Archer Rd, Gainesville, FL 32608. The listed phone number is (352) 733-0800.

What is Samuel Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samuel Kim enrolled in Medicare?

Yes. Samuel 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.

Is Samuel Kim affiliated with any hospitals?

According to CMS data, Samuel Kim is affiliated with Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Kim was last updated on January 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.