Active NPI 1528042231 Individual Practitioner Male Practitioner

Dr. Daniel Y Kim , MD

Otolaryngology • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Kim, MD is a certified Otolaryngology practicing in Worcester, MA. With approximately 46 years of clinical experience since graduating from Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc) in 1980, Dr. Kim delivers high-quality medical care to the local community at 55 LAKE AVE N.

Dr. Kim is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, diagnostic exam of voice box using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N
Worcester

Worcester, MA 016550002

Telephone 5088564161

Fax 5088566703

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Rutgers R W Johnson Medical School (Cam/new Bruns/pisc)

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +22.4 yrs vs City Avg

City Avg: 23.6 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

21 Specialists

Practicing in Worcester, MA (388 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (46 Years) 46 Yrs

Worcester Specialty Average (23.6 Years) 23.6 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$547.00	$132.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	29	$617.40	$139.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	25	$445.00	$96.39
31575 Diagnostic exam of voice box using a flexible endoscope	25	24	$494.36	$61.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$359.00	$80.93
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$300.00	$65.28

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	27	24	$406.78	$99.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$547.00	$135.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$513.06	$146.09
31575 Diagnostic exam of voice box using a flexible endoscope	16	16	$482.00	$70.26
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$262.67	$67.27

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	40	36	$359.00	$99.86
31575 Diagnostic exam of voice box using a flexible endoscope	22	20	$482.00	$70.37
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$244.00	$67.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$359.00	$76.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$547.00	$133.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$482.00	$142.11

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	64	59	$356.98	$104.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$357.57	$86.73
31575 Diagnostic exam of voice box using a flexible endoscope	32	29	$482.00	$70.37
99213 Established patient office or other outpatient visit, typically 15 minutes	26	26	$241.69	$69.17

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	60	52	$316.00	$81.42
31575 Diagnostic exam of voice box using a flexible endoscope	44	38	$482.00	$68.93
99213 Established patient office or other outpatient visit, typically 15 minutes	40	34	$214.00	$53.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$349.00	$77.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$489.00	$126.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$143.00	$25.83

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	52	45	$314.85	$80.86
99213 Established patient office or other outpatient visit, typically 15 minutes	35	28	$212.71	$52.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$487.53	$132.57
31575 Diagnostic exam of voice box using a flexible endoscope	22	21	$482.00	$71.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$349.00	$79.83

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	69	53	$296.00	$81.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$479.00	$134.28
31575 Diagnostic exam of voice box using a flexible endoscope	43	40	$482.00	$69.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	35	$420.00	$115.28
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$199.00	$53.22

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	60	48	$296.00	$80.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	40	$418.58	$113.55
31575 Diagnostic exam of voice box using a flexible endoscope	44	38	$482.00	$70.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$473.00	$130.43
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$199.00	$52.26

Medical Specialties & State Licenses

CMS Verified: 2020-10-23

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License MA 55802

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110049217A (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Umass Memorial Medical Group Inc

119 Belmont St, Worcester, MA 016052903

Phone: 5083341000

Practice Associates & Co-Workers

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

11 Associated Practitioners

Elizabeth Dwyer , PA-C

Physician Assistant

NPI 1013493451

Physician Assistant (Certified)

Jeremiah Tracy

Otolaryngology

NPI 1215166889

Dr. Syed Kamil , MD

Otolaryngology

NPI 1427030840

Doctor of Medicine (M.D.)

Dr. Christopher Ito , MD

Otolaryngology

NPI 1487953907

Doctor of Medicine (M.D.)

Dr. Richard Gacek , MD

Otolaryngology

NPI 1639151756

Doctor of Medicine (M.D.)

Dr. Judith Kempfle , MD

Otolaryngology

NPI 1740636422

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 04, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 04, 2016

Registered at 55 LAKE AVE N, WORCESTER, WORCESTER, MA 016550002 (Tel: 5088564161)

📍

Updated Business Mailing Address November 04, 2016

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

👤

Provider Name / Credentials Updated November 04, 2016

Recorded as DANIEL KIM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2016

Otolaryngology (License #55802 in MA)

🟢

Initial NPI Registration & Enumeration December 06, 2005

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: 1528042231

Entity Type:

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

Enumeration Date: December 06, 2005

Last Update: October 23, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022410001

Phone: 8002258885

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.