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Active NPI 1104220102 Individual Practitioner Male Practitioner

Dr. Jonathan Kim , DPM

Podiatrist • Indio, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Kim, DPM is a certified Podiatrist practicing in Indio, CA. With approximately 13 years of clinical experience since graduating from Temple University School Of Medicine in 2013, Dr. Kim delivers high-quality medical care to the local community at 81709 DR CARREON BLVD STE D3.

Dr. Kim maintains professional affiliations with C P G, Home Foot Care Inc, Southern California Permanente Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of fingernails or toenails, removal of noncancer thickened skin growth, 2-4 growths, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

81709 Dr Carreon Blvd Ste D3

Indio, CA 922015578

Telephone 7608630070
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Indio, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs Matches City Avg
City Avg: 13.0 Yrs
State Avg: 28.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Indio, CA (1110 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (13 Years) 13 Yrs
Indio Specialty Average (13.0 Years) 13.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails
1,715 841 $63.00 $22.09
11056 Removal of noncancer thickened skin growth, 2-4 growths
1,554 777 $95.00 $16.71
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
1,290 615 $94.00 $72.54
11765 Removal of skin of fingernail or toenail
580 557 $200.34 $93.69
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
415 402 $210.00 $128.81
99213 Established patient office or other outpatient visit, typically 15 minutes
198 126 $140.28 $95.70
11721 Removal of fingernails or toenails, 6 or more nails
184 133 $68.93 $47.17
11056 Removal of noncancer thickened skin growth, 2-4 growths
184 131 $126.01 $87.09
11730 Simple separation of fingernail or toenail from nail bed, first nail
55 55 $140.00 $51.48
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
39 39 $165.00 $104.92
97597 Removal of tissue from wound, 20.0 sq cm or less
32 27 $110.00 $33.35
11055 Removal of single thickened skin growth
29 27 $85.00 $13.34
11042 Removal of skin and tissue, 20.0 sq cm or less
23 11 $195.00 $141.01
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
21 15 $94.00 $72.31
10060 Simple or single drainage of skin abscess
17 17 $165.00 $108.28
11057 Removal of noncancer thickened skin growth, more than 4 growths
17 17 $110.00 $22.94
11055 Removal of single thickened skin growth
11 11 $95.91 $72.43

Medical Specialties & State Licenses

CMS Verified: 2022-04-18
Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License CA E5392

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Hospital & Practice Group Affiliations

C P G

2635 Walnut St, Huntington Park, CA 902555709

Phone: 3105372121

Southern California Permanente Medical Group

1011 Balwin Park Blvd, Baldwin Park, CA 917065806

Phone: 6268511011

Home Foot Care Inc

12520 Magnolia Blvd, Valley Village, CA 916072355

Phone: 8184529902

Secondary Practice Locations

16465 Sierra Lakes Pkwy

Fontana, CA 923361242

Phone: 9094279522

728 N Euclid Ave

Ontario, CA 917622712

Phone: 9099845614

15944 Los Serranos Country Club Dr

Chino Hills, CA 917093993

Phone: 9092870677

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. John Ebaugh , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1194760751

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 18, 2022

Registered at 81709 DR CARREON BLVD STE D3, INDIO, CA 922015578 (Tel: 7608630070)

📍
Updated Business Mailing Address April 18, 2022

Registered at 74000 COUNTRY CLUB DR STE E4, PALM DESERT, CA 922601678 (Tel: 7608488231)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2018

Podiatrist (License #E5392 in CA)

📍
Updated Practice Location July 24, 2018

Registered at 728 N EUCLID AVE, ONTARIO, CA 91762 (Tel: 9099845614)

NPI Profile Active May 14, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2015

Registered at 4422 3RD AVE, 1ST FLOOR, BRONX, NY 104572545 (Tel: 7142969747)

📍
Updated Business Mailing Address May 14, 2015

Registered at 190 S WALNUT GROVE AVE, APT B, SAN GABRIEL, CA 917761757

👤
Provider Name / Credentials Updated May 14, 2015

Recorded as JONATHAN KIM, DPM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2015

Podiatrist (License #P93177 in NY)

🟢
Initial NPI Registration & Enumeration October 20, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104220102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2014
Last Update: October 27, 2023
Sole Proprietor: No

Mailing Address

74000 Country Club Dr Ste E4

Palm Desert, CA 922601678

Phone: 7608488231

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.