DR. GRACE KYUNG KIM D.O.
NPI 1972750370
Dermatology - MOHS-Micrographic Surgery in Las Vegas, NV

Active since August 27, 2008PECOS EnrolledAccepts Medicare Assignment
81.79/100
CMS Quality Rating
2615 BOX CANYON DR, LAS VEGAS, NV 89128(702) 998-9001(702) 998-4999 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Grace Kyung Kim D.o. NPPES

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

DR. GRACE KYUNG KIM D.O. (NPI 1972750370) is an individual mohs-micrographic surgery provider in Las Vegas, Nevada, licensed in Nevada (DO1788) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1972750370
Entity TypeIndividualFemale
Primary Taxonomy207ND0101X
Provider Legal NameDR. GRACE KYUNG KIMCredential: D.O.
Location Address2615 BOX CANYON DRLas Vegas, NV 89128-0450
Mailing Address2615 Box Canyon DrLas Vegas, NV 89128-0450 · (702) 998-9001 · Fax (702) 998-4999
Fax(702) 998-4999
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 27, 2008
Last NPPES UpdateSeptember 28, 2016
NPI 1972750370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in NV · DO1788
Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

2615 BOX CANYON DR, Las Vegas, NV 89128

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. Grace Kyung Kim D.o. 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 ID9830325679
PECOS Enrollment IDI20131126001241
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 35

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,049 services150 patients
Dermacyte amniotic membrane allograft, per square centimeter Q4248
Dermacyte is a type of skin graft using healthy tissue from amniotic membranes. This procedure helps in wound healing and tissue repair. It's measured per square centimeter to match the size of the area needing treatment.
852 services49 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.
498 services354 patients
Revita, per square centimeter Q4180
Revita is a non-surgical treatment aimed at stimulating hair growth. It uses advanced technology to target individual square centimeters of the scalp, promoting thicker, healthier hair. This procedure is comfortable, safe, and requires no downtime.
252 services36 patients
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 15275
This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.
244 services97 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
243 services179 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89128 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

81.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.58
Improvement Activities40
Cost45.19

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,043 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
97%850 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
86%850 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

Clinic/Center (Medical Specialty)
2615 BOX CANYON DR
LAS VEGAS, NV 89128
Physician Assistant
2615 BOX CANYON DR
LAS VEGAS, NV 89128
Plastic Surgery
2615 BOX CANYON DR
LAS VEGAS, NV 89128
Clinic/Center (Medical Specialty)
2615 BOX CANYON DR
LAS VEGAS, NV 89128
Clinic/Center (Medical Specialty)
2615 BOX CANYON DR
LAS VEGAS, NV 89128
Dermatology
2615 BOX CANYON DR
LAS VEGAS, NV 89128
Nurse Anesthetist, Certified Registered
2615 BOX CANYON DR
LAS VEGAS, NV 89128
Physician Assistant (Surgical)
2615 BOX CANYON DR
LAS VEGAS, NV 89128

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 Grace Kim's NPI number?

The NPI number for Grace Kim is 1972750370. It was assigned to this individual provider in the NPPES registry on August 27, 2008.

Where is Grace Kim located?

Grace Kim practices at 2615 Box Canyon Dr, Las Vegas, NV 89128. The listed phone number is (702) 998-9001.

What is Grace Kim's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Grace Kim enrolled in Medicare?

Yes. Grace 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 Grace Kim was last updated on September 28, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.