Eugene D Kim, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Plains, PA
NPI 1790716298 · NPPES record last updated Nov 28, 2007
Key facts
- NPI
- 1790716298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- MD060164L (PA)
- Practice address
- 220 S River St
Plains, PA 18705-1137 - Phone
- (570) 826-1555
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 25
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- University of Rochester School of Medicine and Dentistry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Bone and Joint Associates
H2 Health and Rehabilitation Services LLC
Practice addresses (Care Compare)
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
220 S River St
Plains, PA 18705-1137
Phone 5708261555216
506 Hazle St
Wilkes Barre, PA 18702-4646
Phone (570) 270-4366
Hospital & facility affiliations
- Accentcare Health of Pennsylvania
- Wilkes-Barre General Hospital
- Lehigh Valley Hospital - Hazleton
- Geisinger Wyoming Valley Medical Center
- John Heinz Institute of Rehabilitation Medicine
Merit-based Incentive Payment System (MIPS)
- Final score
- 32.01 of 100
- Quality
- 28.87
- Improvement activities
- 0
- Cost
- 68.22
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 16 |
| Knee replacement | 25 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110210001140 | PA | Practitioner - Orthopedic Surgery | 9133309925 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD060164L | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bone and Joint Associates | Orthopaedic Surgery | Current |
Accepting new patients |
Locations
220 S River St
Plains, PA 18705
Phone (570) 824-3444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD060164L | PA | Yes |
Addresses
Primary practice location
220 S River St
Plains, PA 18705-1137
Mailing address
220 S River St
Plains, PA 18705-1137
Phone (570) 826-1555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807274 | Other | PA | FIRST PRIORITY |
| 0016637050007 | Medicaid | PA |
Other providers in Plains, PA
- Melissa Marie Janosov
- Charles Jobst III
- Nicholas Kachur
- Keystone Surgical Assistants Inc.
- Raymond Khoudary
- Alexis Kishel
- Wayne T Kogoy
- Carol Lynn Kopiak
- Ralph Joseph Kovaleski Jr.
- Lisa Kozden
All providers in Plains, PA · Orthopaedic Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.