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Active NPI 1053403634 Individual Practitioner Male Practitioner

Dr. Mark S. Kim , MD

Phlebology • Puyallup, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Kim, MD is a certified Phlebology practicing in Puyallup, WA. With approximately 29 years of clinical experience since graduating from Baylor College Of Medicine in 1997, Dr. Kim delivers high-quality medical care to the local community at 1803 S MERIDIAN.

Dr. Kim accepts Medicare assignment.

Frequently performed procedures and clinical services include injection of chemical agent into multiple incompetent veins of leg, ultrasonic guidance imaging supervision and interpretation for insertion of needle, 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

1803 S Meridian

Puyallup, WA 98371

Telephone 2532683400
Fax 2532683870
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Phlebology in Puyallup, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs Matches City Avg
City Avg: 29.0 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Puyallup, WA (7 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (29 Years) 29 Yrs
Puyallup Specialty Average (29.0 Years) 29.0 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
36471 Injection of chemical agent into multiple incompetent veins of leg
66 18 $515.45 $252.62
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle
45 18 $147.50 $58.11
99213 Established patient office or other outpatient visit, typically 15 minutes
40 26 $230.45 $90.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
24 24 $282.88 $111.08
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
20 19 $317.60 $120.55
36475 Destruction of insufficient vein of arm or leg, accessed through the skin
20 14 $3307.65 $1062.37

Medical Specialties & State Licenses

Phlebology Primary Specialty

NUCC Taxonomy Code: 202K00000X

State License WA MD00038816

Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License WA MD00038816

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8255697 (WA)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Robert Osborne , MD

Surgery - Vascular Surgery

NPI 1669492286

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 24, 2018

Registered at 1803 S MERIDIAN, PUYALLUP, WA 98371 (Tel: 2532683400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2018

Phlebology (License #MD00038816 in WA)

NPI Profile Active December 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2016

Registered at 4901 108TH ST SW, LAKEWOOD, WA 984993724 (Tel: 2535896573)

📍
Updated Business Mailing Address December 15, 2016

Registered at 1803 S MERIDIAN, PUYALLUP, WA 983717513 (Tel: 2535896573)

👤
Provider Name / Credentials Updated December 15, 2016

Recorded as MARK KIM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2016

Family Medicine (License #MD00038816 in WA)

🟢
Initial NPI Registration & Enumeration September 29, 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: 1053403634
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2006
Last Update: January 15, 2019
Sole Proprietor: Yes

Mailing Address

1803 S Meridian

Puyallup, WA 983717513

Phone: 2535896573

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.