Active NPI 1104938984 Individual Practitioner Male Practitioner

Dr. Dong Ouk Kim , MD

Surgery • Kankakee, IL

Professional Overview & Biography Verified Profile Summary

Dr. Dong Kim, MD is a registered healthcare professional specializing in Surgery in Kankakee, IL. Practice services are available at 400 N WALL ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 N Wall St
Suite 410

Kankakee, IL 609012940

Telephone 8159332221

Fax 8159337363

Associated Practice Facility / Clinic

🏢 Riverview Ob-Gyn, Ltd Facility NPI 1518991538

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Kankakee, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.0 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

12 Specialists

Practicing in Kankakee, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	174	129	$167.35	$71.55
99202 New patient office or other outpatient visit, typically 20 minutes	124	124	$165.95	$74.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	65	$254.72	$105.18
99221 Initial hospital inpatient care per day, typically 30 minutes	79	72	$246.39	$101.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	43	$178.38	$72.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	30	$93.27	$39.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	22	$85.09	$43.64
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	30	28	$446.04	$87.84
47562 Removal of gallbladder using an endoscope	22	22	$2003.27	$668.39
45378 Diagnostic exam of large bowel using a flexible endoscope	20	18	$1024.10	$165.94
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	14	$899.07	$119.70
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$1083.20	$185.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$260.03	$101.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$336.38	$136.93
49568 Placement of mesh to repair incisional or abdominal hernia	13	13	$790.31	$281.85
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1437.18	$264.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	144	$275.00	$104.25
99202 New patient office or other outpatient visit, typically 20 minutes	118	118	$191.00	$72.61
99221 Initial hospital inpatient care per day, typically 30 minutes	110	107	$267.00	$100.85
99213 Established patient office or other outpatient visit, typically 15 minutes	85	75	$186.00	$70.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	47	$104.00	$38.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	44	$186.00	$71.10
45378 Diagnostic exam of large bowel using a flexible endoscope	28	28	$1053.03	$169.20
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$1103.00	$182.46
47562 Removal of gallbladder using an endoscope	21	21	$2107.00	$645.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$112.00	$42.14
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$942.00	$110.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$361.00	$135.41
45380 Biopsy of large bowel using an endoscope	15	15	$1297.00	$169.21
49568 Placement of mesh to repair incisional or abdominal hernia	11	11	$776.00	$278.20
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	11	11	$644.00	$98.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	315	181	$186.00	$68.02
99202 New patient office or other outpatient visit, typically 20 minutes	142	142	$191.00	$71.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	102	86	$186.00	$70.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	98	55	$104.00	$38.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	73	$275.00	$100.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	11	$112.00	$25.14
99221 Initial hospital inpatient care per day, typically 30 minutes	35	34	$267.00	$98.75
45378 Diagnostic exam of large bowel using a flexible endoscope	30	30	$1088.00	$149.75
47562 Removal of gallbladder using an endoscope	24	24	$2107.00	$673.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	19	$112.00	$41.66
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$929.71	$104.29
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	18	$3184.91	$333.83
43246 Insertion of stomach tube using a flexible endoscope	14	13	$693.93	$184.61
49505 Repair of groin hernia (5 years or older)	14	14	$1457.00	$530.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$280.00	$100.31
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$814.00	$75.85
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	12	$629.14	$123.17
45380 Biopsy of large bowel using an endoscope	12	12	$1297.00	$174.83
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$1103.00	$178.11

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Aline Dang , DO

Surgery

NPI 1316394430

Doctor of Osteopathic Medicine (D.O.)

Steven Groene

Surgery

NPI 1407175318

Dr. Kay Timbers , MD

Surgery

NPI 1528334208

Doctor of Medicine (M.D.)

Dr. Soren Lang , MD

Surgery

NPI 1538263256

Doctor of Medicine (M.D.)

Dr. Vinay Bajaj , MD

Surgery

NPI 1619325446

Doctor of Medicine (M.D.)

Dr. Gretchen Williams , DO

Surgery

NPI 1659663581

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 400 N WALL ST, SUITE 410, KANKAKEE, IL 609012940 (Tel: 8159332221)

📍

Updated Business Mailing Address July 08, 2007

Registered at 400 N WALL ST, SUITE 410, KANKAKEE, IL 609012940 (Tel: 8159332221)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as DONG KIM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery

🟢

Initial NPI Registration & Enumeration August 31, 2006

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: 1104938984

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 31, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

400 N Wall St, Suite 410

Kankakee, IL 609012940

Phone: 8159332221

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.