Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336381185 Individual Practitioner Male Practitioner

Dr. Peter David Kim , MD

Neurological Surgery • Saint Paul, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Kim, MD is a certified Neurological Surgery practicing in Saint Paul, MN. With approximately 23 years of clinical experience since graduating from State University Of Ny Upstate Medical University in 2003, Dr. Kim delivers high-quality medical care to the local community at 200 UNIVERSITY AVE E.

Dr. Kim maintains professional affiliations with Gillette Childrens Specialty Healthcare, Group Health Plan Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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

200 University Ave E

Saint Paul, MN 551012507

Telephone 6513252307
Fax 6512291713
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

State University Of Ny Upstate Medical University

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Saint Paul, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +3.5 yrs vs City Avg
City Avg: 19.5 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
17 Specialists

Practicing in Saint Paul, MN (178 Statewide)

Telehealth Adoption Rate
47.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (23 Years) 23 Yrs
Saint Paul Specialty Average (19.5 Years) 19.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
15 11 $108.00 $33.89

Medical Specialties & State Licenses

CMS Verified: 2026-04-20
Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License MN 54156

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Hospital & Practice Group Affiliations

Gillette Childrens Specialty Healthcare

435 Phalen Blvd, Saint Paul, MN 551305302

Phone: 6516369443

Group Health Plan Inc

640 Jackson St, Saint Paul, MN 551012502

Phone: 6512213456

Gillette Childrens Specialty Healthcare

200 University Ave E, Saint Paul, MN 551012507

Phone: 6512912848

Practice Associates & Co-Workers

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

4 Associated Practitioners
Alaina Laine , RN, CNP

Nurse Practitioner

NPI 1174802896

Registered Nurse, Certified Nurse Practitioner

Brigid Packer , APRN, CNP

Nurse Practitioner - Pediatrics

NPI 1194194027

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Margaret Cutter , PA-C

Physician Assistant

NPI 1770986101

Physician Assistant (Certified)

Dr. Debbie Song , MD

Neurological Surgery

NPI 1881717973

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 June 28, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2012

Registered at 200 UNIVERSITY AVE E, SAINT PAUL, MN 551012507 (Tel: 6513252307)

📍
Updated Business Mailing Address June 28, 2012

Registered at 200 UNIVERSITY AVE E, SAINT PAUL, MN 551012507 (Tel: 6513252307)

👤
Provider Name / Credentials Updated June 28, 2012

Recorded as PETER KIM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2012

Neurological Surgery (License #54156 in MN)

🟢
Initial NPI Registration & Enumeration March 25, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Peter Kim. Be the first to share your experience!

Sign in to leave a review for Dr. Peter Kim

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1336381185
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2009
Last Update: April 20, 2026
Sole Proprietor: No

Mailing Address

200 University Ave E

Saint Paul, MN 551012507

Phone: 6513252307

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.