Active NPI 1043666274 Individual Practitioner Male Practitioner

Dr. Dong Kim , MD

Dermatology • Fargo, ND

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Dong Kim, MD is a registered Dermatology practitioner in Fargo, ND. With approximately 10 years of clinical practice since completing medical education in 2016, Dr. Kim provides healthcare services at the registered practice location at 1702 UNIVERSITY DR S.

Dr. Kim is affiliated with Innovis Health Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1702 University Dr S

Fargo, ND 581034940

Telephone 7013643300

Associated Practice Facility / Clinic

🏢 Dakota Clinic, Ltd. Facility NPI 1740231182

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Fargo, ND

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -9.4 yrs vs City Avg

City Avg: 19.4 Yrs

State Avg: 17.7 Yrs

Regional Practice Density

18 Specialists

Practicing in Fargo, ND (38 Statewide)

Telehealth Adoption Rate

5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (10 Years) 10 Yrs

Fargo Specialty Average (19.4 Years) 19.4 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
17003 Destruction of precancer skin growth, 2-14 growths	924	140	$16.18	$1.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	657	488	$204.39	$92.28
17000 Destruction of skin growth	204	177	$83.21	$50.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	190	190	$268.75	$124.71
11102 Tangential biopsy of single skin lesion	177	159	$115.47	$29.31
17110 Destruction of up to 14 skin growths	99	95	$132.32	$64.30
11103 Biopsy of related skin growth, each additional growth	64	41	$57.00	$20.64
99213 Established patient office or other outpatient visit, typically 15 minutes	38	27	$142.47	$62.40
11105 Punch biopsy, each additional skin growth	21	15	$66.48	$23.79
11104 Punch biopsy, first skin growth	21	21	$153.29	$41.65
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	19	$519.26	$233.21
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	14	$320.00	$91.61
11200 Removal of skin tag, 1-15 skin tags	15	15	$111.60	$74.03
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	13	$456.79	$234.43
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$308.00	$76.92
69100 Biopsy of ear	11	11	$113.00	$39.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	953	134	$12.67	$2.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	620	444	$197.31	$93.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	222	222	$260.32	$126.57
17000 Destruction of skin growth	201	174	$85.56	$49.29
11102 Tangential biopsy of single skin lesion	186	164	$113.88	$28.10
17110 Destruction of up to 14 skin growths	106	98	$132.33	$61.18
11103 Biopsy of related skin growth, each additional growth	94	57	$44.47	$20.64
17004 Destruction of precancer skin growth, 15 or more growths	36	29	$173.47	$95.48
11104 Punch biopsy, first skin growth	36	36	$150.36	$42.83
11105 Punch biopsy, each additional skin growth	34	23	$56.41	$24.31
99213 Established patient office or other outpatient visit, typically 15 minutes	24	20	$138.00	$63.31
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	22	19	$538.32	$238.32
11200 Removal of skin tag, 1-15 skin tags	20	19	$105.75	$74.33
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	12	$308.00	$90.03
69100 Biopsy of ear	15	15	$86.20	$43.15
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$252.00	$77.67
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	12	$352.23	$228.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,066	188	$8.47	$2.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	546	423	$186.74	$94.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	282	282	$251.29	$129.81
17000 Destruction of skin growth	253	225	$88.87	$47.62
11102 Tangential biopsy of single skin lesion	180	164	$110.93	$25.92
17110 Destruction of up to 14 skin growths	154	136	$127.90	$62.58
11103 Biopsy of related skin growth, each additional growth	74	54	$30.86	$21.15
17004 Destruction of precancer skin growth, 15 or more growths	59	52	$139.00	$94.89
11105 Punch biopsy, each additional skin growth	33	24	$32.76	$24.79
11104 Punch biopsy, first skin growth	31	30	$128.84	$43.02
99213 Established patient office or other outpatient visit, typically 15 minutes	25	17	$126.04	$64.86
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	19	$224.00	$93.08
11900 Injection into skin growth, 1-7 growths	17	12	$35.00	$27.66
11200 Removal of skin tag, 1-15 skin tags	17	17	$91.12	$74.31
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	17	16	$311.00	$239.95
69100 Biopsy of ear	13	13	$46.00	$32.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$238.15	$141.88
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	13	13	$472.00	$248.34
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$311.00	$177.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	813	151	$8.31	$2.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	382	271	$171.97	$97.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	209	209	$239.67	$132.56
17000 Destruction of skin growth	207	179	$88.71	$48.20
17003 Destruction of precancer skin growth, 2-14 growths	193	43	$8.00	$2.10
11102 Tangential biopsy of single skin lesion	156	145	$111.07	$27.78
99213 Established patient office or other outpatient visit, typically 15 minutes	153	131	$116.02	$65.82
17110 Destruction of up to 14 skin growths	142	125	$122.00	$62.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$238.00	$132.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	63	$174.08	$96.24
17000 Destruction of skin growth	55	53	$87.00	$46.39
11103 Biopsy of related skin growth, each additional growth	48	34	$31.48	$21.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$171.00	$81.46
11102 Tangential biopsy of single skin lesion	45	43	$110.00	$29.66
17004 Destruction of precancer skin growth, 15 or more growths	42	37	$139.00	$96.52
17110 Destruction of up to 14 skin growths	31	28	$122.00	$63.69
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$115.00	$66.03
11104 Punch biopsy, first skin growth	20	20	$120.00	$44.05
11200 Removal of skin tag, 1-15 skin tags	19	19	$89.00	$74.28
11105 Punch biopsy, each additional skin growth	19	17	$30.00	$25.18
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	15	$224.00	$94.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$171.00	$81.36
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	11	$224.00	$94.47
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	13	13	$472.00	$253.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	76	16	$8.00	$2.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$171.00	$74.82
17000 Destruction of skin growth	37	35	$90.19	$49.74
99213 Established patient office or other outpatient visit, typically 15 minutes	37	35	$115.00	$50.84
11102 Tangential biopsy of single skin lesion	35	35	$110.00	$30.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$249.78	$125.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$171.00	$78.44
17110 Destruction of up to 14 skin growths	20	17	$122.00	$65.75

Medical Specialties & State Licenses

CMS Verified: 2020-07-13

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License ND 16544

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License MN 67131

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Innovis Health Llc

1702 University Dr S, Fargo, ND 581034940

Phone: 7013648900

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Bangalore Vijayalakshmi , MD

Physical Medicine & Rehabilitation

NPI 1003843574

Doctor of Medicine (M.D.)

Dr. David Carlson , MD

Internal Medicine

NPI 1013947100

Doctor of Medicine (M.D.)

Dr. Robert Renschler , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1023363587

Doctor of Podiatric Medicine

Dr. Todd Metzger , OD

Optometrist

NPI 1033134374

Doctor of Optometry

Dr. Christian Sorensen , MD

Internal Medicine

NPI 1033430780

Doctor of Medicine (M.D.)

Dr. Bess Martin , PhD, LP

Clinical Neuropsychologist

NPI 1043415318

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location July 13, 2020

Registered at 1702 UNIVERSITY DR S, FARGO, ND 581034940 (Tel: 7013643300)

📍

Updated Business Mailing Address July 13, 2020

Registered at 1702 UNIVERSITY DR S, FARGO, ND 581034940

👤

Provider Name / Credentials Updated July 13, 2020

Recorded as DONG KIM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2020

Dermatology (License #67131 in MN)

✅

NPI Profile Active September 06, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 06, 2016

Registered at 225 FRONT ST, BINGHAMTON, NY 139052474 (Tel: 6077783938)

📍

Updated Business Mailing Address September 06, 2016

Registered at 33 LEWIS ROAD, 2ND FL, BINGHAMTON, NY 13905 (Tel: 6077298156)

👤

Provider Name / Credentials Updated September 06, 2016

Recorded as DONG KIM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2016

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration May 06, 2016

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: 1043666274

Entity Type:

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

Enumeration Date: May 06, 2016

Last Update: July 13, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1702 University Dr S

Fargo, ND 581034940

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.