Doctor profile · Federal record
Dr. Ki-Yoon Kim, M.D.
Gastroenterology Physician (CMS: Internal Medicine) · Gastroenterology Physician · San Diego, CA
- NPI 1558715110
- Accepts Medicare
- MIPS 84.5 / 100 · 2023
- 10 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4060 Fourth Avenue, Suite 240
San Diego, CA 92103
(619) 291-6064 - Additional location
-
4094 4Th Ave
San Diego, CA 921032143
(619) 515-2545 - Mailing address
-
4060 Fourth Ave Ste 240
San Diego, CA 921032120
Credentials & registration
- NPI registered
- April 2016 — 10 yrs on file
- Profile last updated
- July 11, 2025
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State licenses (2)
- California #A151164 · New York #315245
- Medicaid
- CA #KK3232267556
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1558715110. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
149
Distinct HCPCS
5
Medicare allowed
$21,453
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 59 | 51 | $134 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 44 | 44 | $195 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 17 | 16 | $148 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 16 | 16 | $36 | |
43237 |
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth | 13 | 13 | $143 |
In context: peer comparison
Among 31 peers in San Diego Gastroenterology Physician, average services per provider: 52. This provider delivers 2.9× the peer median.Open Payments
Industry payments received
All-time total
$990
Transactions
14
Manufacturers
8
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Olympus America INC. | 4 | $303.63 | |
| Boston Scientific Corporation | 2 | $183.71 | |
| Ovesco Endoscopy USA, INC. | 1 | $153.63 | |
| Olympus Corporation of the Americas | 1 | $94.76 | |
| 3-D Matrix, INC. | 1 | $83.88 | |
| Medtronic, INC. | 1 | $65.43 | |
| Abbvie INC. | 3 | $63.78 | |
| Micro-Tech Endoscopy USA, INC. | 1 | $41.02 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
131
Patients
70
Total drug cost
$2,935
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Pantoprazole Sodium | Generic | 66 | 33 | $1,182 |
| Omeprazole | Generic | 46 | 19 | $843 |
| Cefpodoxime Proxetil | Generic | 19 | 18 | $910 |
Frequently asked questions
What is Dr. Ki-Yoon Kim's medical specialty?
Dr. Ki-Yoon Kim practices Gastroenterology Physician in San Diego, CA.
Where does Dr. Ki-Yoon Kim practice?
Dr. Ki-Yoon Kim practices at 4060 Fourth Avenue, Suite 240, San Diego, CA 92103. Office phone: 6192916064.
What is Dr. Ki-Yoon Kim's NPI?
Dr. Ki-Yoon Kim's National Provider Identifier (NPI) is 1558715110, issued by NPPES.
Does Dr. Ki-Yoon Kim accept Medicare assignment?
Yes. Dr. Ki-Yoon Kim accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ki-Yoon Kim commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Initial hospital care with moderate level of medical decision making (HCPCS 99223); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.