Active NPI 1801974027 Individual Practitioner Male Practitioner

Dr. Shane K. Kim , MD

Ophthalmology • Portland, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shane Kim, MD is a certified Ophthalmology practicing in Portland, OR. With approximately 25 years of clinical experience since graduating from New York University School Of Medicine in 2001, Dr. Kim delivers high-quality medical care to the local community at 10819 SE STARK ST.

Dr. Kim is affiliated with Eye Health Northwest Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10819 Se Stark St
Suite 200

Portland, OR 972163161

Telephone 5032552291

Fax 5032521797

Associated Practice Facility / Clinic

🏢 East Portland Optical Service Facility NPI 1902888118

Medicare Profile & Education

Medical School

New York University School Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Portland, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +7.1 yrs vs City Avg

City Avg: 17.9 Yrs

State Avg: 22.4 Yrs

Regional Practice Density

141 Specialists

Practicing in Portland, OR (341 Statewide)

Telehealth Adoption Rate

1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (25 Years) 25 Yrs

Portland Specialty Average (17.9 Years) 17.9 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
92014 Established patient complete exam of visual system	459	454	$330.00	$134.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	218	$347.00	$134.21
99213 Established patient office or other outpatient visit, typically 15 minutes	237	198	$245.00	$96.71
92136 Measurement of corneal curvature and depth of eye	185	123	$160.86	$42.50
66984 Removal of cataract with insertion of lens	180	117	$1892.00	$567.97
92134 Imaging of retina	168	154	$110.00	$42.80
92133 Imaging of optic nerve	131	131	$100.00	$38.59
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	108	69	$58.00	$16.94
92083 Exam of visual field with extended testing	78	76	$185.00	$68.31
66821 Removal of recurring cataract in lens capsule using a laser	49	46	$1192.55	$388.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$450.00	$176.00
92020 Examination of cornea and iris using lens device and slit lamp	39	39	$75.00	$28.53
92004 New patient complete exam of visual system	24	24	$392.00	$159.41
92201 Extended exam of the back part of the eye with retinal drawing	16	15	$67.00	$26.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$301.00	$117.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	568	564	$314.00	$133.44
99213 Established patient office or other outpatient visit, typically 15 minutes	269	202	$222.00	$93.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	254	203	$315.00	$131.70
92133 Imaging of optic nerve	159	157	$93.00	$38.14
92136 Measurement of corneal curvature and depth of eye	158	106	$167.63	$42.80
92134 Imaging of retina	151	146	$102.00	$41.85
66984 Removal of cataract with insertion of lens	148	99	$1892.00	$554.78
92083 Exam of visual field with extended testing	85	85	$185.00	$65.96
92020 Examination of cornea and iris using lens device and slit lamp	64	64	$67.00	$28.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$407.00	$172.19
66821 Removal of recurring cataract in lens capsule using a laser	38	37	$1132.45	$399.47
92004 New patient complete exam of visual system	37	37	$370.00	$152.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$268.00	$116.15
76514 Ultrasound scan of cornea to determine thickness	13	13	$38.00	$11.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	506	501	$314.00	$132.75
99213 Established patient office or other outpatient visit, typically 15 minutes	242	183	$222.00	$92.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	166	$315.00	$133.01
92133 Imaging of optic nerve	137	137	$93.00	$38.18
92134 Imaging of retina	125	119	$102.00	$41.39
92136 Measurement of corneal curvature and depth of eye	116	84	$174.91	$45.02
66984 Removal of cataract with insertion of lens	111	82	$1892.00	$549.66
92083 Exam of visual field with extended testing	88	84	$185.00	$65.04
92020 Examination of cornea and iris using lens device and slit lamp	50	50	$67.00	$28.77
92004 New patient complete exam of visual system	49	49	$370.00	$158.70
66821 Removal of recurring cataract in lens capsule using a laser	49	49	$1075.51	$387.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$407.00	$169.54
92201 Extended exam of the back part of the eye with retinal drawing	14	14	$50.00	$25.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$268.00	$116.12
76514 Ultrasound scan of cornea to determine thickness	11	11	$38.00	$11.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	524	522	$313.77	$133.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	215	$311.82	$133.88
99213 Established patient office or other outpatient visit, typically 15 minutes	236	205	$220.96	$95.10
92136 Measurement of corneal curvature and depth of eye	150	99	$167.55	$48.07
66984 Removal of cataract with insertion of lens	134	89	$1892.00	$554.52
92133 Imaging of optic nerve	131	130	$93.00	$39.03
92134 Imaging of retina	107	98	$102.00	$42.14
92083 Exam of visual field with extended testing	86	86	$185.00	$65.25
92020 Examination of cornea and iris using lens device and slit lamp	62	62	$67.00	$29.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$407.00	$174.08
66821 Removal of recurring cataract in lens capsule using a laser	45	45	$1067.78	$391.51
92004 New patient complete exam of visual system	43	43	$370.00	$160.10
92201 Extended exam of the back part of the eye with retinal drawing	17	17	$50.00	$26.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$268.00	$117.18
76514 Ultrasound scan of cornea to determine thickness	16	16	$38.00	$11.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	584	580	$307.00	$132.66
99213 Established patient office or other outpatient visit, typically 15 minutes	187	162	$181.00	$78.05
92136 Measurement of corneal curvature and depth of eye	144	99	$169.25	$54.07
66984 Removal of cataract with insertion of lens	135	93	$1892.00	$565.25
92133 Imaging of optic nerve	116	116	$93.00	$38.48
92012 Established patient problem focused exam of visual system	111	103	$212.00	$92.16
92134 Imaging of retina	81	79	$102.00	$42.31
92083 Exam of visual field with extended testing	74	73	$185.00	$66.38
92004 New patient complete exam of visual system	69	69	$370.00	$159.24
92020 Examination of cornea and iris using lens device and slit lamp	56	54	$67.00	$28.97
66821 Removal of recurring cataract in lens capsule using a laser	41	41	$1115.24	$403.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$407.00	$163.28
76514 Ultrasound scan of cornea to determine thickness	17	17	$38.00	$11.91
92002 New patient problem focused exam of visual system	12	12	$202.00	$89.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	714	705	$307.00	$131.29
92136 Measurement of corneal curvature and depth of eye	189	125	$168.38	$57.55
66984 Removal of cataract with insertion of lens	172	114	$1892.00	$649.53
92012 Established patient problem focused exam of visual system	161	144	$212.00	$91.47
99213 Established patient office or other outpatient visit, typically 15 minutes	134	109	$181.00	$75.84
92133 Imaging of optic nerve	108	106	$93.00	$37.57
92083 Exam of visual field with extended testing	86	85	$185.00	$66.63
92004 New patient complete exam of visual system	74	74	$370.00	$158.09
92134 Imaging of retina	74	67	$102.00	$42.45
92020 Examination of cornea and iris using lens device and slit lamp	54	54	$67.00	$28.56
66821 Removal of recurring cataract in lens capsule using a laser	50	49	$1085.00	$393.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$407.00	$169.83
76514 Ultrasound scan of cornea to determine thickness	18	18	$38.00	$12.15
92225 Examination of eye by ophthalmoscope with retinal drawing	13	12	$54.00	$28.90
92002 New patient problem focused exam of visual system	11	11	$202.00	$88.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	665	651	$307.00	$129.80
99213 Established patient office or other outpatient visit, typically 15 minutes	172	134	$181.00	$73.95
92136 Measurement of corneal curvature and depth of eye	153	109	$165.79	$62.43
92012 Established patient problem focused exam of visual system	148	126	$212.00	$90.15
66984 Removal of cataract with insertion of lens	138	92	$1892.00	$645.42
92133 Imaging of optic nerve	106	105	$93.00	$38.40
92083 Exam of visual field with extended testing	76	75	$185.00	$65.84
92134 Imaging of retina	67	65	$102.00	$41.96
92004 New patient complete exam of visual system	57	57	$370.00	$156.52
92020 Examination of cornea and iris using lens device and slit lamp	47	46	$67.00	$27.76
66821 Removal of recurring cataract in lens capsule using a laser	44	43	$1144.89	$400.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$407.00	$168.32
76514 Ultrasound scan of cornea to determine thickness	19	19	$38.00	$15.05
92002 New patient problem focused exam of visual system	19	19	$202.00	$86.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	677	662	$306.58	$126.12
99213 Established patient office or other outpatient visit, typically 15 minutes	207	157	$180.58	$74.21
92136 Measurement of corneal curvature and depth of eye	182	121	$164.57	$67.19
66984 Removal of cataract with insertion of lens	173	117	$1892.00	$634.68
92012 Established patient problem focused exam of visual system	152	127	$211.64	$87.02
92133 Imaging of optic nerve	92	92	$95.97	$38.20
92083 Exam of visual field with extended testing	92	92	$190.00	$66.23
92004 New patient complete exam of visual system	80	80	$369.77	$151.49
92134 Imaging of retina	53	47	$103.13	$40.78
92020 Examination of cornea and iris using lens device and slit lamp	47	47	$67.00	$27.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$406.56	$162.91
66821 Removal of recurring cataract in lens capsule using a laser	36	36	$1059.97	$372.03
76514 Ultrasound scan of cornea to determine thickness	29	28	$37.86	$14.78
92225 Examination of eye by ophthalmoscope with retinal drawing	18	17	$56.67	$27.66
92002 New patient problem focused exam of visual system	16	16	$201.88	$83.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$267.73	$109.64

Medical Specialties & State Licenses

CMS Verified: 2021-02-20

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OR MD27296

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

276174 (OR)

Hospital & Practice Group Affiliations

Eye Health Northwest Pc

10819 Se Stark, Portland, OR 972163161

Phone: 5032552291

Practice Associates & Co-Workers

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

18 Associated Practitioners

Dr. Andrea Yonge , MD

Ophthalmology

NPI 1144644543

Doctor of Medicine (M.D.)

Dr. Jonathan Marquett , OD

Optometrist

NPI 1154005403

Doctor of Optometry

Dr. Donald Plumb , MD

Ophthalmology

NPI 1205818267

Doctor of Medicine (M.D.)

Dr. Jordon Lubahn , MD

Ophthalmology

NPI 1225201155

Doctor of Medicine (M.D.)

Dr. Jonathan Kemp , MD

Ophthalmology

NPI 1245212901

Doctor of Medicine (M.D.)

Dr. Roger Saulson , MD

Ophthalmology

NPI 1366424343

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address February 20, 2021

Registered at PO BOX 22009, PORTLAND, OR 972692009 (Tel: 5035587372)

✅

NPI Profile Active November 14, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 14, 2007

Registered at 10819 SE STARK ST, SUITE 200, PORTLAND, OR 972163161 (Tel: 5032552291)

📍

Updated Business Mailing Address November 14, 2007

Registered at 10819 SE STARK ST, SUITE 200, PORTLAND, OR 972163161 (Tel: 5032552291)

👤

Provider Name / Credentials Updated November 14, 2007

Recorded as SHANE KIM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2007

Ophthalmology (License #MD27296 in OR)

🟢

Initial NPI Registration & Enumeration November 02, 2006

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. Shane Kim. Be the first to share your experience!

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

NPI Administrative Meta

NPI Number: 1801974027

Entity Type:

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

Enumeration Date: November 02, 2006

Last Update: February 20, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 22009

Portland, OR 972692009

Phone: 5035587372

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.