Active NPI 1548209000 Individual Practitioner Male Practitioner

Dr. Donald Kim , MD

Surgery • Grand Rapids, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Donald Kim, MD is a certified Surgery practicing in Grand Rapids, MI. With approximately 41 years of clinical experience since graduating from Loyola University Of Chicago, Stritch School Of Medicine in 1985, Dr. Kim delivers high-quality medical care to the local community at 4100 LAKE DR SE.

Dr. Kim is affiliated with Spectrum Health Primary Care Partners and accepts Medicare assignment.

Frequently performed procedures and clinical services include moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito, removal of polyps or growths of large bowel using an endoscope with mechanical snare, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4100 Lake Dr Se
S-205

Grand Rapids, MI 495468292

Telephone 6169744466

Associated Practice Facility / Clinic

🏢 Spectrum Health Hospitals Facility NPI 1366438632

Medicare Profile & Education

Medical School

Loyola University Of Chicago, Stritch School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Grand Rapids, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +22.1 yrs vs City Avg

City Avg: 18.9 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

128 Specialists

Practicing in Grand Rapids, MI (1479 Statewide)

Telehealth Adoption Rate

4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (41 Years) 41 Yrs

Grand Rapids Specialty Average (18.9 Years) 18.9 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
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	35	35	$19.00	$5.86
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	33	33	$1031.27	$307.51
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$125.00	$69.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$201.62	$99.16
45380 Biopsy of large bowel using an endoscope	13	13	$823.08	$139.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$317.33	$148.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$196.27	$93.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2250 Injection, midazolam hydrochloride, per 1 mg	105	15	$2.00	$0.16
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	64	62	$48.47	$16.32
J3010 Injection, fentanyl citrate, 0.1 mg	34	15	$3.00	$0.90
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	31	31	$954.16	$278.06
99213 Established patient office or other outpatient visit, typically 15 minutes	29	24	$153.66	$84.99
45380 Biopsy of large bowel using an endoscope	17	17	$806.82	$202.77
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$624.82	$188.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$347.00	$161.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$223.18	$106.33
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$676.73	$207.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2250 Injection, midazolam hydrochloride, per 1 mg	121	24	$1.00	$0.16
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	54	54	$70.67	$25.67
J3010 Injection, fentanyl citrate, 0.1 mg	48	23	$2.00	$0.80
99213 Established patient office or other outpatient visit, typically 15 minutes	30	24	$152.00	$88.48
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	29	29	$981.83	$313.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$341.00	$159.03
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$795.00	$264.77
45380 Biopsy of large bowel using an endoscope	13	13	$881.23	$187.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$224.00	$109.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2250 Injection, midazolam hydrochloride, per 1 mg	104	20	$1.00	$0.12
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	49	49	$54.41	$23.46
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$150.50	$85.66
J3010 Injection, fentanyl citrate, 0.1 mg	27	20	$2.00	$0.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	17	$212.67	$123.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	12	$147.83	$66.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$82.78	$36.47
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$1005.31	$331.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$338.38	$165.09
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$660.13	$226.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	53	52	$28.49	$12.07
99213 Established patient office or other outpatient visit, typically 15 minutes	47	40	$146.00	$73.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	12	$145.50	$72.42
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$570.11	$191.73
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$835.22	$281.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$215.65	$102.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$215.75	$99.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$328.25	$162.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	67	55	$143.55	$72.22
J2250 Injection, midazolam hydrochloride, per 1 mg	39	13	$1.00	$0.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$326.28	$156.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$211.00	$103.04
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$848.23	$291.57
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	20	20	$34.60	$15.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$211.58	$105.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	11	$78.74	$39.15
46600 Diagnostic examination of the anus using an endoscope	15	15	$204.20	$91.89
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$670.14	$234.19
J3010 Injection, fentanyl citrate, 0.1 mg	14	13	$2.00	$0.83
44204 Partial removal of large bowel using an endoscope	13	13	$3532.08	$1572.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$273.82	$136.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2250 Injection, midazolam hydrochloride, per 1 mg	90	19	$1.00	$0.12
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	65	65	$25.43	$11.50
99213 Established patient office or other outpatient visit, typically 15 minutes	59	47	$142.00	$69.41
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	32	32	$832.75	$281.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	18	$78.00	$38.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	18	$140.00	$71.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$321.00	$154.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$208.00	$103.59
J3010 Injection, fentanyl citrate, 0.1 mg	21	19	$2.00	$0.55
45380 Biopsy of large bowel using an endoscope	20	20	$671.60	$194.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$210.00	$98.89
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$547.19	$193.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$270.00	$134.21
46600 Diagnostic examination of the anus using an endoscope	13	13	$200.00	$84.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	84	67	$138.85	$69.39
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$780.67	$268.42
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	26	26	$531.42	$190.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$206.50	$98.82
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	25	25	$29.16	$13.28
45380 Biopsy of large bowel using an endoscope	22	22	$703.00	$185.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$204.67	$98.98
46600 Diagnostic examination of the anus using an endoscope	20	20	$197.50	$83.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	12	$137.50	$70.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$314.53	$150.13
44204 Partial removal of large bowel using an endoscope	12	12	$3383.00	$1371.60

Medical Specialties & State Licenses

CMS Verified: 2021-02-25

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301073782

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.

Hospital & Practice Group Affiliations

Spectrum Health Primary Care Partners

2009 Holton Rd, Muskegon, MI 494451578

Phone: 2312918399

Spectrum Health Primary Care Partners

15100 Whittaker Way, Grand Haven, MI 494178696

Phone: 6169356280

Spectrum Health Primary Care Partners

6105 Wilson Ave Sw, Wyoming, MI 494189714

Spectrum Health Primary Care Partners

6105 Wilson Ave Sw, Grandville, MI 494189714

Phone: 6164865299

Spectrum Health Primary Care Partners

6105 Wilson Ave Sw Fl, Wyoming, MI 494189714

Phone: 6162678950

Spectrum Health Primary Care Partners

15100 Whittaker Way, Grand Haven, MI 494178696

Phone: 6167724644

Spectrum Health Primary Care Partners

4069 Lake Dr Se, Grand Rapids, MI 495468816

Spectrum Health Primary Care Partners

1840 Wealthy St Se, Grand Rapids, MI 495062921

Phone: 6168855000

Spectrum Health Primary Care Partners

2249 Wealthy St Se, East Grand Rapids, MI 495063055

Phone: 6163914600

Spectrum Health Primary Care Partners

4444 Kalamazoo Ave Se, Kentwood, MI 495084600

Phone: 6163915600

Spectrum Health Primary Care Partners

4100 Lake Dr Se, Grand Rapids, MI 495468292

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Nadav Dujovny , MD

Surgery

NPI 1093760357

Doctor of Medicine (M.D.)

Mark Rapson , PA

Physician Assistant

NPI 1134385297

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 04, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2011

Registered at 4100 LAKE DR SE, S-205, GRAND RAPIDS, MI 495468292 (Tel: 6169744466)

📍

Updated Business Mailing Address February 04, 2011

Registered at 100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 495032560

👤

Provider Name / Credentials Updated February 04, 2011

Recorded as DONALD KIM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2011

Surgery (License #4301073782 in MI)

🟢

Initial NPI Registration & Enumeration June 06, 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: 1548209000

Entity Type:

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

Enumeration Date: June 06, 2006

Last Update: February 25, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 Michigan St Ne, Mc 845

Grand Rapids, MI 495032560

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

⚠️ Medical Disclaimer

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