Doctor profile · Federal record
Dr. Stacey Kim, M.D.
Anatomic Pathology & Clinical Pathology Physician (CMS: Pathology) · Anatomic Pathology & Clinical Pathology Physician · Los Angeles, CA
- NPI 1114123171
- Accepts Medicare
- MIPS 83.9 / 100 · 2023
- 19 yrs in practice
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
8700 Beverly Blvd, South Tower, Room 8709
Los Angeles, CA 90048
(310) 423-6941
Credentials & registration
- NPI registered
- June 2007 — 19 yrs on file
- Profile last updated
- July 20, 2011
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 207ZP0102X — NUCC code
- State licenses (2)
- California #115491 · Rhode Island #LP01253
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114123171. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,302
Distinct HCPCS
10
Medicare allowed
$93,950
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
88305 |
Pathology examination of tissue using a microscope, intermediate complexity | 1,752 | 543 | $40 | |
88341 |
Special stained specimen slides to examine tissue, each additional procedure | 171 | 64 | $31 | |
88342 |
Special stained specimen slides to examine tissue, initial procedure | 164 | 131 | $38 | |
88307 |
Pathology examination of tissue using a microscope, moderately high complexity | 52 | 46 | $91 | |
88304 |
Pathology examination of tissue using a microscope, moderately low complexity | 47 | 36 | $12 | |
88305 |
Pathology examination of tissue using a microscope, intermediate complexity | 29 | 18 | $81 | |
88311 |
Preparation of tissue for examination by removing any calcium present | 28 | 18 | $14 | |
88309 |
Pathology examination of tissue using a microscope, high complexity | 24 | 18 | $157 | |
88313 |
Special stained specimen slides to examine tissue including interpretation and report | 20 | 14 | $13 | |
88312 |
Special stained specimen slides to identify organisms including interpretation and report | 15 | 12 | $29 |
In context: peer comparison
Among 54 peers in this city , average services per provider: 159. This provider delivers 14× the peer median.Open Payments
Industry payments received
All-time total
$40
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Hologic Sales and Service, LLC | 1 | $39.68 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Stacey Kim's medical specialty?
Dr. Stacey Kim practices Anatomic Pathology & Clinical Pathology Physician in Los Angeles, CA.
Where does Dr. Stacey Kim practice?
Dr. Stacey Kim practices at 8700 Beverly Blvd, Los Angeles, CA 90048. Office phone: 3104236941.
What is Dr. Stacey Kim's NPI?
Dr. Stacey Kim's National Provider Identifier (NPI) is 1114123171, issued by NPPES.
Does Dr. Stacey Kim accept Medicare assignment?
Yes. Dr. Stacey Kim accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Stacey Kim commonly perform?
Top Medicare-reported procedures in 2023: Pathology examination of tissue using a microscope, intermediate complexity (HCPCS 88305); Special stained specimen slides to examine tissue, each additional procedure (HCPCS 88341); Special stained specimen slides to examine tissue, initial procedure (HCPCS 88342). Source: CMS Medicare Physician & Other Practitioners file.