Active NPI 1649381153 Individual Practitioner Female Practitioner

Dr. Soon Kim , MD

Surgery • Gardnerville, NV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Soon Kim, MD is a certified Surgery practicing in Gardnerville, NV. With approximately 34 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1992, Dr. Kim delivers high-quality medical care to the local community at 1516 VIRGINIA RANCH RD.

Dr. Kim is affiliated with Mesquite Clinic Management Company Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, biopsy of large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1516 Virginia Ranch Rd

Gardnerville, NV 894105794

Telephone 7757833020

Fax 7757833021

Associated Practice Facility / Clinic

🏢 Roger Rogalski Md Chtd Facility NPI 1588608913

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Gardnerville, NV

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs Matches City Avg

City Avg: 34.0 Yrs

State Avg: 28.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Gardnerville, NV (248 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (34 Years) 34 Yrs

Gardnerville Specialty Average (34.0 Years) 34.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	72	68	$199.00	$87.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	57	56	$471.00	$105.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	51	$295.00	$124.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	52	$120.00	$55.43
45380 Biopsy of large bowel using an endoscope	45	45	$721.00	$191.02
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	42	42	$856.00	$236.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$454.00	$162.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$296.00	$108.95
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$1986.00	$669.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$375.00	$123.85
49591 Initial repair of sliding hernia of abdomen, less than 3 cm in length	12	12	$753.49	$327.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	73	66	$199.00	$83.81
45380 Biopsy of large bowel using an endoscope	69	68	$721.00	$177.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	68	$120.00	$52.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$296.00	$106.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$454.00	$156.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	48	$295.00	$118.60
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	36	$471.00	$86.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$552.00	$148.46
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$1986.00	$655.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$375.00	$116.99
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	16	16	$755.00	$183.40
44392 Removal of polyps or growths of large bowel using an endoscope which is inserted through abdominal opening	15	15	$616.00	$177.53
49650 Repair of groin hernia using an endoscope	14	14	$1191.00	$414.42
46946 Tying of multiple internal hemorrhoid groups	12	12	$629.00	$351.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	165	147	$199.00	$86.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	139	139	$296.00	$109.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$454.00	$161.35
44392 Removal of polyps or growths of large bowel using an endoscope which is inserted through abdominal opening	58	58	$616.00	$187.51
45380 Biopsy of large bowel using an endoscope	58	58	$721.00	$187.49
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	54	53	$483.07	$103.20
45378 Diagnostic exam of large bowel using a flexible endoscope	35	35	$618.66	$162.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	31	$295.00	$121.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	29	$552.00	$187.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$120.00	$53.36
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	23	23	$2034.30	$696.93
49654 Repair of incisional hernia using an endoscope	16	16	$2205.38	$783.36
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$439.92	$87.90
99220 Hospital observation care, typically 70 minutes	11	11	$504.00	$168.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	135	135	$296.00	$116.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	107	$120.00	$58.20
99213 Established patient office or other outpatient visit, typically 15 minutes	107	91	$199.00	$94.32
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	100	96	$477.52	$103.07
99202 New patient office or other outpatient visit, typically 20 minutes	74	74	$204.00	$75.84
45380 Biopsy of large bowel using an endoscope	62	62	$730.82	$161.39
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	61	61	$856.00	$257.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$454.00	$174.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	25	$552.00	$206.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$295.00	$134.77
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	21	21	$1986.00	$738.01
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$604.00	$181.49
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$604.00	$189.47
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$604.00	$173.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$375.00	$140.70
49650 Repair of groin hernia using an endoscope	12	12	$1191.00	$451.70
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$99.98	$58.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$296.00	$110.26
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	75	74	$479.69	$100.48
99213 Established patient office or other outpatient visit, typically 15 minutes	69	62	$199.00	$77.29
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	66	66	$55.00	$23.62
99202 New patient office or other outpatient visit, typically 20 minutes	55	55	$204.00	$78.52
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	55	55	$856.00	$265.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	45	$120.00	$45.69
45380 Biopsy of large bowel using an endoscope	36	36	$721.00	$179.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$552.00	$209.33
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	22	22	$1986.00	$771.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	19	$196.00	$74.89
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$604.00	$192.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$454.00	$169.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$375.00	$142.97
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$604.00	$182.37
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$604.00	$169.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	60	56	$995.40	$116.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	45	$240.17	$72.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$293.17	$108.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	36	$120.61	$44.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$446.67	$162.95
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$196.43	$73.27
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	24	$64.43	$21.98
45380 Biopsy of large bowel using an endoscope	21	21	$1572.43	$153.92
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$205.60	$75.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$289.00	$102.64
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$4401.38	$742.33

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	65	57	$121.00	$42.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$444.00	$157.22
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	41	40	$1152.88	$94.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	34	$288.00	$102.08
45380 Biopsy of large bowel using an endoscope	30	30	$2956.00	$188.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$489.00	$129.84
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	12	$108.00	$39.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$289.00	$105.40
45378 Diagnostic exam of large bowel using a flexible endoscope	13	12	$1568.00	$173.57
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$195.00	$63.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	82	78	$489.00	$133.56
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	74	72	$1155.00	$102.33
99213 Established patient office or other outpatient visit, typically 15 minutes	67	55	$195.00	$69.75
45380 Biopsy of large bowel using an endoscope	55	54	$2956.00	$181.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$444.00	$155.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	33	$288.00	$103.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	21	$249.00	$69.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$121.00	$41.72
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	26	22	$783.00	$123.03
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$1568.00	$167.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$289.00	$104.90
47562 Removal of gallbladder using an endoscope	21	21	$5171.00	$618.56
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	14	$1780.00	$253.86

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NV 10696

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100502384 (NV)

Hospital & Practice Group Affiliations

Mesquite Clinic Management Company Llc

1301 Bertha Howe Ave, Mesquite, NV 890277503

Phone: 7023460800

Practice Associates & Co-Workers

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

1 Associated Practitioners

Celeste Callinan , PA-C

Physician Assistant

NPI 1255641809

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 21, 2013

Registered at 1516 VIRGINIA RANCH RD, GARDNERVILLE, NV 894105794 (Tel: 7757833020)

📍

Updated Business Mailing Address January 21, 2013

Registered at 1516 VIRGINIA RANCH RD, GARDNERVILLE, NV 894105794 (Tel: 7757833020)

👤

Provider Name / Credentials Updated January 21, 2013

Recorded as SOON KIM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2013

Surgery (License #10696 in NV)

🟢

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: 1649381153

Entity Type:

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

Enumeration Date: August 31, 2006

Last Update: January 21, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1516 Virginia Ranch Rd

Gardnerville, NV 894105794

Phone: 7757833020

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.