Active NPI 1053400713 Individual Practitioner Female Practitioner

Dr. Jiyoun E Kim , MD

Surgery • Salem, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jiyoun Kim, MD is a certified Surgery practicing in Salem, OR. With approximately 26 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 2000, Dr. Kim delivers high-quality medical care to the local community at 665 WINTER ST SE.

Dr. Kim maintains professional affiliations with Salem Health, Salem Clinic Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, 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

665 Winter St Se

Salem, OR 973013934

Telephone 5035612448

Associated Practice Facility / Clinic

🏢 Emergency & Acute Care Medical Company - Oregon Facility NPI 1124078233

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Salem, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +2.6 yrs vs City Avg

City Avg: 23.4 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

30 Specialists

Practicing in Salem, OR (555 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (26 Years) 26 Yrs

Salem Specialty Average (23.4 Years) 23.4 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$468.00	$160.64
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	26	26	$35.00	$7.61
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$233.00	$86.26
36415 Insertion of needle into vein for collection of blood sample	24	24	$16.00	$8.65
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$48.00	$13.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$307.00	$106.91
80048 Blood test, basic group of blood chemicals (calcium, total)	17	16	$34.00	$8.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$338.00	$119.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$453.00	$161.99
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$605.00	$210.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	28	24	$16.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$216.00	$84.84
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	24	21	$35.00	$7.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$313.00	$122.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	14	$419.00	$171.86
80048 Blood test, basic group of blood chemicals (calcium, total)	16	15	$34.00	$8.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$310.00	$107.03
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$49.00	$13.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$473.00	$159.26
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$595.00	$210.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	19	$388.00	$173.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$290.00	$123.53
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$200.00	$86.97
36415 Insertion of needle into vein for collection of blood sample	13	11	$16.00	$2.98
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$49.00	$13.73
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	11	11	$1626.00	$506.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$282.00	$125.78
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	23	12	$85.13	$32.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$535.00	$214.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	18	$377.00	$162.33
36415 Insertion of needle into vein for collection of blood sample	19	18	$16.00	$3.00
19301 Partial removal of breast	14	13	$1731.00	$607.69
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	14	14	$35.29	$7.77
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$194.00	$84.80
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$49.00	$14.24
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	11	11	$1608.00	$536.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$273.00	$106.62
36415 Insertion of needle into vein for collection of blood sample	22	20	$16.00	$2.98
93000 Routine ekg using at least 12 leads including interpretation and report	22	21	$49.00	$16.57
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	20	19	$35.00	$7.72
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	18	18	$1608.00	$561.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	12	$366.00	$136.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$413.00	$160.45
80053 Blood test, comprehensive group of blood chemicals	12	12	$55.00	$10.49
38900 Lymph node imaging during surgery	11	11	$373.23	$142.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	19	$265.00	$106.25
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$58.00	$16.56
36415 Insertion of needle into vein for collection of blood sample	18	15	$16.00	$2.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$266.00	$105.75
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	14	13	$35.00	$8.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$405.00	$160.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	24	18	$175.00	$71.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$261.00	$105.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$259.00	$105.52

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	17	17	$254.00	$99.73
36415 Insertion of needle into vein for collection of blood sample	12	11	$16.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$170.00	$61.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$390.00	$151.06
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	11	11	$35.00	$10.45

Medical Specialties & State Licenses

CMS Verified: 2025-07-08

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OR MD27016

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

240491 (OR)

Commercial Insurance / Payer ID Railroad Group

CS4159

Commercial Insurance / Payer ID Railroad Medicare

P00378192

Hospital & Practice Group Affiliations

Salem Health

890 Oak St Se, Salem, OR 973013905

Phone: 5038144048

Salem Clinic Pc

2020 Capitol St Ne, Salem, OR 973010644

Phone: 5033992424

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Elizabeth Windell , DO

Surgery - Trauma Surgery

NPI 1124261979

Doctor of Osteopathic Medicine (D.O.)

Dr. Hannah Hayes , MD

Surgery - Surgical Critical Care

NPI 1124414008

Doctor of Medicine (M.D.)

Dr. Kelly Fair , MD

Surgery

NPI 1144547415

Doctor of Medicine (M.D.)

Alexis Burke , MEDICAL STUDENT

Student in an Organized Health Care Education/Training Program

NPI 1164275921

MEDICALSTUDENT

Dr. West Livaudais , MD

Surgery - Trauma Surgery

NPI 1194828533

Doctor of Medicine (M.D.)

Dr. Tracey Kim , MD

Surgery - Trauma Surgery

NPI 1437546306

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 Practice Location July 08, 2025

Registered at 665 WINTER ST SE, SALEM, OR 973013934 (Tel: 5035612448)

📍

Updated Business Mailing Address July 08, 2025

Registered at PO BOX 13129, SALEM, OR 973091129 (Tel: 5035612448)

✅

NPI Profile Active May 24, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location May 24, 2010

Registered at 2020 CAPITOL ST NE, SALEM, OR 973010644 (Tel: 5033992470)

📍

Updated Business Mailing Address May 24, 2010

Registered at PO BOX 8100, SALEM, OR 973030900 (Tel: 5033992470)

👤

Provider Name / Credentials Updated May 24, 2010

Recorded as JIYOUN KIM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2010

Surgery (License #MD27016 in OR)

🟢

Initial NPI Registration & Enumeration October 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1053400713

Entity Type:

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

Enumeration Date: October 12, 2006

Last Update: July 08, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 13129

Salem, OR 973091129

Phone: 5035612448

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.