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Active NPI 1255657151 Individual Practitioner Male Practitioner

Dr. James D Kim , MD

Ophthalmology • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Kim, MD is a certified Ophthalmology practicing in Fort Wayne, IN. With approximately 16 years of clinical experience since graduating from Georgetown University School Of Medicine in 2010, Dr. Kim delivers high-quality medical care to the local community at 7802 W JEFFERSON BLVD STE A.

Dr. Kim is affiliated with Indiana Retina Center Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, injection, avacincaptad pegol, 0.1 mg, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7802 W Jefferson Blvd Ste A

Fort Wayne, IN 468044138

Telephone 2603052822
Fax 2603052829
Associated Practice Facility / Clinic
🏢 Indiana Retina Center Llc Facility NPI 1518609429

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Fort Wayne, IN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -10.2 yrs vs City Avg
City Avg: 26.2 Yrs
State Avg: 27.7 Yrs
Regional Practice Density
22 Specialists

Practicing in Fort Wayne, IN (339 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (16 Years) 16 Yrs
Fort Wayne Specialty Average (26.2 Years) 26.2 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
J2777 Injection, faricimab-svoa, 0.1 mg
7,560 35 $109.00 $34.40
J2782 Injection, avacincaptad pegol, 0.1 mg
1,740 21 $333.91 $108.46
92134 Imaging of retina
960 323 $100.00 $36.99
J0178 Injection, aflibercept, 1 mg
856 86 $1890.00 $823.94
67028 Injection of drug into eye
681 171 $757.71 $116.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
305 216 $220.00 $118.70
J9035 Injection, bevacizumab, 10 mg
186 63 $162.00 $69.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
93 93 $280.00 $153.75
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
88 14 $100.00 $0.98
92250 Photography of the retina
40 32 $125.00 $33.82
67515 Injection of medication or substance into membrane covering eyeball
23 14 $105.00 $45.15
67042 Removal of membrane of retina with removal of internal limiting membrane of retina
15 15 $2550.00 $1041.11
99213 Established patient office or other outpatient visit, typically 15 minutes
15 15 $155.00 $84.19
92235 Exam of retinal blood vessels using a special camera after injection of a dye
12 12 $280.00 $147.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
12 12 $400.00 $204.19

Medical Specialties & State Licenses

CMS Verified: 2022-08-05
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IN 01083315A

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License WI 62214-20

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
300058132 (IN)
Medicaid State Provider ID
7100053130 (KY)

Hospital & Practice Group Affiliations

Indiana Retina Center Llc

7802 W Jefferson Blvd, Fort Wayne, IN 468044138

Phone: 2603052822

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1508183427

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location August 05, 2022

Registered at 7802 W JEFFERSON BLVD STE A, FORT WAYNE, IN 468044138 (Tel: 2603052822)

📍
Updated Business Mailing Address August 05, 2022

Registered at 7802 W JEFFERSON BLVD STE A, FORT WAYNE, IN 468044138 (Tel: 2603052822)

📍
Updated Practice Location January 24, 2022

Registered at 7900 W JEFFERSON BLVD STE 300, FORT WAYNE, IN 468044128 (Tel: 2604362181)

📍
Updated Business Mailing Address January 24, 2022

Registered at 7900 W JEFFERSON BLVD STE 300, FORT WAYNE, IN 468044128 (Tel: 2604362181)

📍
Updated Practice Location November 14, 2018

Registered at 4630 VILLAGE SQUARE DR, PADUCAH, KY 420017502 (Tel: 2704421671)

📍
Updated Business Mailing Address November 14, 2018

Registered at 4630 VILLAGE SQUARE DR, PADUCAH, KY 420017502 (Tel: 2704421671)

👤
Provider Name / Credentials Updated November 14, 2018

Recorded as JAMES KIM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2018

Ophthalmology (License #62214-20 in WI)

NPI Profile Active June 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2016

Registered at 4630 VILLAGE SQUARE DR, SUITE #102, PADUCAH, KY 420017502 (Tel: 2704434393)

📍
Updated Business Mailing Address June 08, 2016

Registered at 1903 BROADWAY ST, PADUCAH, KY 420017105 (Tel: 2704421671)

👤
Provider Name / Credentials Updated June 08, 2016

Recorded as JAMES KIM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2016

Ophthalmology (License #49053 in KY)

🟢
Initial NPI Registration & Enumeration April 16, 2010

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: 1255657151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2010
Last Update: August 05, 2022
Sole Proprietor: No

Mailing Address

7802 W Jefferson Blvd Ste A

Fort Wayne, IN 468044138

Phone: 2603052822

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.