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Active NPI 1962832477 Individual Practitioner Male Practitioner

Samuel Tae Kim , PA-C

Physician Assistant • Gainesville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samuel Kim, PA-C is a certified Physician Assistant practicing in Gainesville, FL. With approximately 13 years of clinical experience since completing medical education in 2013, Samuel Kim delivers high-quality medical care to the local community at 1515 SW ARCHER RD.

Samuel Kim is affiliated with Florida Clinical Practice Association Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with straightforward medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1515 Sw Archer Rd

Gainesville, FL 326081134

Telephone 3527330800

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Gainesville, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs +4.2 yrs vs City Avg
City Avg: 8.8 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
439 Specialists

Practicing in Gainesville, FL (10376 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (13 Years) 13 Yrs
Gainesville Specialty Average (8.8 Years) 8.8 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
99284 Emergency department visit with moderate level of medical decision making
37 37 $456.81 $102.61
99285 Emergency department visit for life threatening or functioning severity
29 29 $666.14 $148.77

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9107565

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
010389300 (FL)

Hospital & Practice Group Affiliations

Florida Clinical Practice Association Inc

1600 Sw Archer Rd, Gainesville, FL 326103003

Florida Clinical Practice Association Inc

1600 Sw Archer Rd, Gainesville, FL 326103003

Florida Clinical Practice Association Inc

1600 Sw Archer Rd Rm, Gainesville, FL 326103003

Phone: 3522650535

Florida Clinical Practice Association Inc

2001 Sw 13th St, Gainesville, FL 326081532

Phone: 3522658990

Florida Clinical Practice Association Inc

Uf Health Test Site Pop Up 1600 Sw Ar, Gainesville, FL 326103003

Phone: 3523921161

Florida Clinical Practice Association Inc

2001 Sw 13th St, Gainesville, FL 326081532

Phone: 3522658982

Florida Clinical Practice Association Inc

1600 Sw Archer, Gainesville, FL 326103003

Florida Clinical Practice Association Inc

2000 Sw Archer Rd, Gainesville, FL 326103003

Phone: 3522658250

Practice Associates & Co-Workers

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

9 Associated Practitioners
Joshua Dixon

Student in an Organized Health Care Education/Training Program

NPI 1033062054
Natalia Valais , ARNP

Nurse Practitioner - Acute Care

NPI 1063914786

Advanced Registered Nurse Practitioner

Dr. Hailey Canezaro , MD

Student in an Organized Health Care Education/Training Program

NPI 1124873682

Doctor of Medicine (M.D.)

Pooja Patel , PA-C

Physician Assistant

NPI 1194380873

Physician Assistant (Certified)

Dr. Austin Reed , MD

Emergency Medicine

NPI 1447783436

Doctor of Medicine (M.D.)

Dr. Dania Abu-Jubara , DO

Emergency Medicine

NPI 1447839030

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2014

Registered at 1515 SW ARCHER RD, GAINESVILLE, FL 326081134 (Tel: 3527330800)

📍
Updated Business Mailing Address January 14, 2014

Registered at 3800 SW 34TH ST, APT S174, GAINESVILLE, FL 326086562 (Tel: 4077394009)

👤
Provider Name / Credentials Updated January 14, 2014

Recorded as SAMUEL KIM, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2014

Physician Assistant (License #PA9107565 in FL)

🟢
Initial NPI Registration & Enumeration November 19, 2013

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: 1962832477
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2013
Last Update: January 14, 2014
Sole Proprietor: Yes

Mailing Address

3800 Sw 34th St, Apt S174

Gainesville, FL 326086562

Phone: 4077394009

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.