Doctor profile · Federal record
Dr. Jerry Kim, MD
Vascular Surgery Physician (CMS: General Surgery) · Surgery Physician · Pomona, CA
- NPI 1912295510
- Accepts Medicare
- 15 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
350 Vinton Ave Ste 202
Pomona, CA 917673000
(909) 909-1148
fax (909) 363-4954
Credentials & registration
- NPI registered
- July 2011 — 15 yrs on file
- Profile last updated
- August 1, 2023
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 2086S0129X — NUCC code
- State license (1)
- California #A124130
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1912295510. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
924
Distinct HCPCS
10
Medicare allowed
$434,412
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 216 | 133 | $139 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 148 | 148 | $180 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 55 | 52 | $183 | |
93926 |
Ultrasound of one leg arteries or artery grafts | 52 | 44 | $143 | |
93985 |
Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access | 46 | 46 | $283 | |
93990 |
Ultrasound of hemodialysis access | 44 | 39 | $148 | |
36821 |
Relocation of arm vein with connection to arm artery for hemodialysis | 37 | 37 | $666 | |
93925 |
Ultrasound of leg arteries or artery grafts | 35 | 35 | $276 | |
36589 |
Removal of tunneled central venous tube | 32 | 31 | $165 | |
75710 |
Review by radiologist of arm or leg artery image | 31 | 26 | $85 |
In context: peer comparison
Among 2 peers in Pomona Vascular Surgery Physician, average services per provider: 44. This provider delivers 21× the peer median.Open Payments
Industry payments received
All-time total
$906
Transactions
21
Manufacturers
8
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| W. L. Gore & Associates, INC. | 7 | $420.57 | |
| Koya Medical, INC. | 1 | $164.69 | |
| Abbott Laboratories | 7 | $158.55 | |
| Silk Road Medical, INC. | 2 | $76.87 | |
| Bolton Medical INC | 1 | $27.05 | |
| AngioDynamics, INC. | 1 | $23.66 | |
| Medtronic, INC. | 1 | $20.27 | |
| Baxter Healthcare | 1 | $14.15 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
145
Patients
45
Total drug cost
$26,863
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 119 | 45 | $1,985 |
| Eliquis (Apixaban) | Brand | 26 | 0 | $24,877 |
Hospital affiliations
Frequently asked questions
What is Dr. Jerry Kim's medical specialty?
Dr. Jerry Kim practices Vascular Surgery Physician in Pomona, CA.
Where does Dr. Jerry Kim practice?
Dr. Jerry Kim practices at 350 Vinton Ave Ste 202, Pomona, CA 917673000. Office phone: 9099091148.
What is Dr. Jerry Kim's NPI?
Dr. Jerry Kim's National Provider Identifier (NPI) is 1912295510, issued by NPPES.
Does Dr. Jerry Kim accept Medicare assignment?
Yes. Dr. Jerry Kim accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jerry Kim commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.