Doctor profile · Federal record

Dr. Charles Chol Bae Kim, MD

Adult Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Geriatric Medicine (Family Medicine) Physician · Tustin, CA

  • NPI 1225564818
  • Accepts Medicare
  • 45 yrs in practice
  • Licensed in 2 states
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
14642 Newport Ave Ste 105
Tustin, CA 927806058
(714) 831-1112
fax (714) 486-2309
Mailing address
1200 W Mohave RD
Parker, AZ 853446349

Credentials & registration

NPPES · NUCC
NPI registered
May 2017 — 9 yrs on file
Profile last updated
October 13, 2021
Year of graduation
1981 — 45 yrs since
Specialty taxonomy
207QA0505X — NUCC code
State licenses (3)
California #C129160 · Arizona #54481 · California #C-129160

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1225564818. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
6,371
Distinct HCPCS
10
Medicare allowed
$1,573,475
HCPCS Description Services Patients Avg allowed
97610 Therapy procedure using ultrasound 2,120 292 $509
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less 1,183 121 $73
11043 Removal of muscle and/or tissue, 20.0 sq cm or less 1,097 288 $241
11042 Removal of skin and tissue, 20.0 sq cm or less 482 164 $112
11045 Removal of skin and tissue, each additional 20.0 sq cm or less 447 43 $41
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 365 251 $21
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 259 65 $55
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 251 85 $76
17250 Application of chemical to stop tissue regrowth in wound 101 29 $50
49450 Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast 34 23 $672

In context: peer comparison

Among 1 peers in Tustin Adult Medicine Physician, average services per provider: 579. This provider delivers 11× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
539
Patients
174
Total drug cost
$182,426
Drug Type Claims Patients Total cost
Santyl (Collagenase Clostridium Hist.) Brand 88 54 $123,899
Atorvastatin Calcium Generic 64 25 $895
Amlodipine Besylate Generic 60 23 $444
Metformin Hcl Generic 56 25 $458
Lisinopril Generic 38 13 $485
Losartan Potassium Generic 34 12 $366
Benazepril Hcl Generic 26 11 $282
Farxiga (Dapagliflozin Propanediol) Brand 23 0 $19,058
Glipizide Generic 23 11 $225
Januvia (Sitagliptin Phosphate) Brand 23 0 $26,384

Frequently asked questions

Auto-generated from federal data
What is Dr. Charles Chol Bae Kim's medical specialty?
Dr. Charles Chol Bae Kim practices Adult Medicine Physician in Tustin, CA.
Where does Dr. Charles Chol Bae Kim practice?
Dr. Charles Chol Bae Kim practices at 14642 Newport Ave Ste 105, Tustin, CA 927806058. Office phone: 7148311112.
What is Dr. Charles Chol Bae Kim's NPI?
Dr. Charles Chol Bae Kim's National Provider Identifier (NPI) is 1225564818, issued by NPPES.
Does Dr. Charles Chol Bae Kim accept Medicare assignment?
Yes. Dr. Charles Chol Bae Kim accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Charles Chol Bae Kim commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using ultrasound (HCPCS 97610); Removal of muscle and/or tissue, each additional 20.0 sq cm or less (HCPCS 11046); Removal of muscle and/or tissue, 20.0 sq cm or less (HCPCS 11043). Source: CMS Medicare Physician & Other Practitioners file.