Active NPI 1043385529 Individual Practitioner Male Practitioner

Dr. Sang Won Dacri-Kim , DO

Surgery - Vascular Surgery • Newark, OH

✓ 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. Sang Won Dacri-Kim, DO is a registered Surgery - Vascular Surgery practitioner in Newark, OH. With approximately 36 years of clinical practice since graduating from Philadelphia College Of Osteopathic Medicine in 1990, Dr. Dacri-Kim provides healthcare services at the registered practice location at 1970 TAMARACK RD..

Dr. Dacri-Kim is affiliated with Ashtabula County Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1970 Tamarack Rd.

Newark, OH 43055

Telephone 7403442452

Fax 7405227305

Associated Practice Facility / Clinic

🏢 Meritas Surgical, Inc. Facility NPI 1538140926

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Newark, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +3.3 yrs vs City Avg

City Avg: 32.7 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Newark, OH (250 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dacri-Kim (36 Years) 36 Yrs

Newark Specialty Average (32.7 Years) 32.7 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
11042 Removal of skin and tissue, 20.0 sq cm or less	152	45	$163.00	$56.49
99213 Established patient office or other outpatient visit, typically 15 minutes	128	95	$902.55	$62.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	28	$183.00	$74.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	59	$348.48	$123.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$187.87	$77.99
76937 Ultrasonic guidance for blood vessel access	18	17	$136.11	$13.12
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	17	16	$1330.71	$76.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	256	46	$157.00	$56.85
99213 Established patient office or other outpatient visit, typically 15 minutes	171	116	$184.19	$63.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	83	72	$331.00	$125.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	29	$176.00	$76.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$181.19	$80.17
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	37	12	$72.00	$24.68
76937 Ultrasonic guidance for blood vessel access	33	32	$151.00	$13.85
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	31	29	$1334.90	$81.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	300	47	$151.00	$57.65
99213 Established patient office or other outpatient visit, typically 15 minutes	198	126	$190.44	$65.49
93970 Ultrasound study of arm or leg veins with compression and maneuvers	149	139	$168.00	$33.40
93880 Ultrasound of both sides of head and neck blood flow	136	134	$105.00	$38.57
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	134	129	$87.00	$21.36
93923 Complete ultrasound study of arm and leg arteries	92	91	$139.00	$21.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$174.00	$82.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	54	$318.00	$131.46
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	40	13	$69.00	$26.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	20	$169.00	$69.28
93925 Ultrasound of leg arteries or artery grafts	27	27	$174.00	$37.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	292	60	$143.95	$59.86
93970 Ultrasound study of arm or leg veins with compression and maneuvers	227	208	$160.00	$33.34
99213 Established patient office or other outpatient visit, typically 15 minutes	218	137	$206.17	$66.70
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	193	175	$83.00	$21.61
93880 Ultrasound of both sides of head and neck blood flow	142	134	$100.11	$38.49
93923 Complete ultrasound study of arm and leg arteries	126	125	$132.17	$21.75
99183 Management and supervision of oxygen chamber therapy per session	91	11	$523.45	$108.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	64	63	$303.00	$133.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$170.91	$82.90
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	54	17	$66.06	$26.62
93925 Ultrasound of leg arteries or artery grafts	44	44	$166.18	$37.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	23	$161.00	$70.48
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	17	15	$539.12	$228.24
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	16	16	$569.25	$85.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$91.20	$35.57
36589 Removal of central venous catheter for infusion	13	11	$243.92	$132.11
76937 Ultrasonic guidance for blood vessel access	12	11	$56.00	$13.78
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	12	11	$166.00	$39.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	320	54	$137.18	$60.75
99213 Established patient office or other outpatient visit, typically 15 minutes	205	142	$168.32	$51.08
99183 Management and supervision of oxygen chamber therapy per session	198	16	$501.40	$111.45
93970 Ultrasound study of arm or leg veins with compression and maneuvers	177	168	$152.27	$34.63
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	155	148	$79.08	$22.23
93880 Ultrasound of both sides of head and neck blood flow	114	112	$95.04	$39.84
93923 Complete ultrasound study of arm and leg arteries	87	86	$126.14	$21.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	25	$152.84	$71.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$158.00	$75.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	35	$289.00	$136.89
93925 Ultrasound of leg arteries or artery grafts	41	41	$158.39	$39.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$76.33	$25.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	22	$368.00	$199.81
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	21	18	$412.76	$229.50
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	19	14	$158.00	$39.77
36589 Removal of central venous catheter for infusion	14	13	$230.21	$94.28
36830 Connection of tube graft to vein and artery for dialysis	13	13	$3413.00	$690.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	331	209	$157.43	$50.35
11042 Removal of skin and tissue, 20.0 sq cm or less	321	62	$131.56	$60.76
93970 Ultrasound study of arm or leg veins with compression and maneuvers	237	224	$145.18	$34.41
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	211	197	$75.08	$22.35
93880 Ultrasound of both sides of head and neck blood flow	162	156	$90.15	$39.77
93923 Complete ultrasound study of arm and leg arteries	123	120	$120.10	$22.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99	42	$146.00	$71.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	56	$275.92	$134.99
93925 Ultrasound of leg arteries or artery grafts	48	48	$150.00	$39.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$215.56	$75.23
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	27	26	$375.70	$241.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	24	$350.72	$199.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$70.87	$25.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$277.65	$77.61
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	16	15	$150.00	$39.43
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	12	12	$150.00	$12.32
36589 Removal of central venous catheter for infusion	12	12	$260.00	$103.23
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	11	11	$15.00	$12.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	356	223	$154.30	$50.18
11042 Removal of skin and tissue, 20.0 sq cm or less	319	79	$155.00	$59.88
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	247	219	$75.00	$22.55
93970 Ultrasound study of arm or leg veins with compression and maneuvers	191	175	$145.00	$33.99
93880 Ultrasound of both sides of head and neck blood flow	189	187	$90.00	$39.35
99183 Management and supervision of oxygen chamber therapy per session	149	12	$475.00	$104.62
93923 Complete ultrasound study of arm and leg arteries	111	110	$120.00	$21.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	99	89	$240.35	$134.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	94	49	$124.35	$68.98
93925 Ultrasound of leg arteries or artery grafts	74	74	$150.00	$39.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$165.09	$75.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$246.33	$75.66
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	17	16	$150.00	$39.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$138.00	$24.97
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	11	$671.92	$227.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	416	96	$155.00	$60.37
99213 Established patient office or other outpatient visit, typically 15 minutes	329	207	$130.64	$49.60
99183 Management and supervision of oxygen chamber therapy per session	206	14	$475.00	$108.64
93970 Ultrasound study of arm or leg veins with compression and maneuvers	157	155	$145.00	$34.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	146	58	$91.00	$70.41
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	133	128	$75.00	$21.70
93880 Ultrasound of both sides of head and neck blood flow	112	110	$90.00	$39.28
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	102	19	$60.00	$25.76
93925 Ultrasound of leg arteries or artery grafts	98	98	$150.00	$38.54
93923 Complete ultrasound study of arm and leg arteries	93	93	$120.00	$22.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	79	74	$177.00	$133.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$152.11	$73.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	32	$172.63	$76.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	24	$158.75	$24.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$260.00	$126.64
97597 Removal of tissue from wound, 20.0 sq cm or less	21	13	$106.86	$21.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	16	$350.00	$197.76
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	15	15	$150.00	$39.24
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	15	14	$1147.00	$244.93

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License OH 34006602

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery

NUCC Taxonomy Code: 208600000X

State License OH 34006602

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

2028577 (OH)

Commercial Insurance / Payer ID Railroad Medicare

P00397004 (OH)

Hospital & Practice Group Affiliations

Ashtabula County Medical Center

2420 Lake Ave, Ashtabula, OH 440044954

Phone: 4409976969

Ashtabula County Medical Center

2422 Lake Ave, Ashtabula, OH 440044985

Phone: 4409976969

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Alex Juan , MD

Surgery

NPI 1447247309

Doctor of Medicine (M.D.)

Dr. Carlos Domingo , MD

Surgery

NPI 1770615528

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 November 23, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location November 23, 2010

Registered at 1970 TAMARACK RD., NEWARK, OH 43055 (Tel: 7403442452)

📍

Updated Business Mailing Address November 23, 2010

Registered at 1970 TAMARACK RD., NEWARK, OH 43055 (Tel: 7403442452)

👤

Provider Name / Credentials Updated November 23, 2010

Recorded as SANG WON DACRI-KIM, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2010

Surgery (License #34006602 in OH)

🟢

Initial NPI Registration & Enumeration November 21, 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: 1043385529

Entity Type:

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

Enumeration Date: November 21, 2006

Last Update: November 23, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1970 Tamarack Rd.

Newark, OH 43055

Phone: 7403442452

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.