Active NPI 1992757421 Individual Practitioner Male Practitioner

Dr. Taewan Kim , MD

Surgery • Oswego, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Taewan Kim, MD is a certified Surgery practicing in Oswego, NY. With approximately 30 years of clinical experience since graduating from State University Of Ny Upstate Medical University in 1996, Dr. Kim delivers high-quality medical care to the local community at 140 W 6TH ST STE LL30.

Dr. Kim maintains professional affiliations with Physician Care Pc, Crouse Medical Practice Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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

140 W 6th St Ste Ll30

Oswego, NY 131262564

Telephone 3153495511

Fax 3153495921

Associated Practice Facility / Clinic

🏢 Ontario Medical Practice Pc Facility NPI 1821019050

Medicare Profile & Education

Medical School

State University Of Ny Upstate Medical University

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Oswego, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs -1.8 yrs vs City Avg

City Avg: 31.8 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

7 Specialists

Practicing in Oswego, NY (2269 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

48.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (30 Years) 30 Yrs

Oswego Specialty Average (31.8 Years) 31.8 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	66	46	$32.00	$15.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	22	$142.00	$73.04
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$143.77	$86.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	24	$209.00	$121.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$319.00	$158.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$266.00	$123.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	27	$141.82	$87.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	14	$76.00	$42.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	11	$142.00	$77.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$209.00	$124.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$266.00	$119.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$319.00	$162.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$209.00	$109.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	30	$142.00	$89.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$319.00	$158.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$209.00	$110.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	32	$76.00	$37.91
99213 Established patient office or other outpatient visit, typically 15 minutes	60	35	$141.88	$90.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	22	$142.00	$70.91
99221 Initial hospital inpatient care per day, typically 30 minutes	26	24	$197.00	$99.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$319.00	$161.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$209.00	$111.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$209.00	$120.71
47562 Removal of gallbladder using an endoscope	13	13	$1268.00	$562.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	87	36	$144.18	$71.35
99213 Established patient office or other outpatient visit, typically 15 minutes	48	22	$142.00	$74.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$206.96	$102.70
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$197.00	$101.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$77.33	$39.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	12	$85.00	$44.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$209.00	$107.25
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$165.38	$43.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	56	$180.00	$50.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	38	$180.62	$71.33
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$180.00	$49.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$356.85	$134.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$270.00	$74.29
47562 Removal of gallbladder using an endoscope	11	11	$1630.00	$598.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$110.00	$24.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	123	66	$180.00	$49.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	82	35	$180.49	$70.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$363.33	$132.37
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$180.00	$48.77
47562 Removal of gallbladder using an endoscope	13	13	$1630.00	$573.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	56	$180.00	$49.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	30	$180.00	$68.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$270.00	$73.97
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$267.14	$97.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$345.00	$132.66
47562 Removal of gallbladder using an endoscope	13	13	$1680.15	$527.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$400.00	$125.23

Medical Specialties & State Licenses

CMS Verified: 2023-03-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 220630

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

02155824 (NY)

Commercial Insurance / Payer ID Railroad Medicare

P02005039 (NY)

Hospital & Practice Group Affiliations

Crouse Medical Practice Pllc

739 Irving Ave, Syracuse, NY 132101663

Phone: 3154707364

Physician Care Pc

140 W 6th St, Oswego, NY 131262525

Phone: 3153495822

Secondary Practice Locations

505 Irving Ave, Ste 1249

Syracuse, NY 132101718

Phone: 3154649852

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Rhonaldo Silaban , MD

Emergency Medicine

NPI 1013327741

Doctor of Medicine (M.D.)

Amie Johnson , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013721869

Certified Registered Nurse Anesthetist

Tammy Engle , NP

Nurse Practitioner - Adult Health

NPI 1023137551

Nurse Practitioner

Philip Smith , RD

Dietitian, Registered

NPI 1033936505

Registered Dietitian

Dr. John Fountain , MD

Anesthesiology

NPI 1093738189

Doctor of Medicine (M.D.)

Dr. Carlos Dator , MD

Family Medicine

NPI 1114287158

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address March 04, 2022

Registered at 110 W 6TH ST, OSWEGO, NY 131262507 (Tel: 3153495511)

📍

Updated Practice Location February 05, 2020

Registered at 140 W 6TH ST STE LL30, OSWEGO, NY 131262564 (Tel: 3153495511)

✅

NPI Profile Active August 27, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 27, 2013

Registered at 505 IRVING AVE, STE 1249, SYRACUSE, NY 132101718 (Tel: 3154649852)

📍

Updated Business Mailing Address August 27, 2013

Registered at 550 HARRISON ST, STE 330, SYRACUSE, NY 132023188 (Tel: 3154641800)

👤

Provider Name / Credentials Updated August 27, 2013

Recorded as TAEWAN KIM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2013

Surgery (License #220630 in NY)

🟢

Initial NPI Registration & Enumeration May 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1992757421

Entity Type:

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

Enumeration Date: May 16, 2006

Last Update: March 29, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

110 W 6th St

Oswego, NY 131262507

Phone: 3153495511

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.