Doctor profile · Federal record

Dr. Jennifer Kim, M.D.

Surgery Physician (CMS: General Surgery) · Student in an Organized Health Care Education/Training Program · Shreveport, LA

  • NPI 1053798264
  • Accepts Medicare
  • 11 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1501 Kings Hwy, Surgery
Shreveport, LA 711034228
(318) 675-2655
Mailing address
8600 N State Route 91
Peoria, IL 616159541

Credentials & registration

NPPES · NUCC
NPI registered
April 2015 — 11 yrs on file
Profile last updated
September 9, 2020
Year of graduation
2015 — 11 yrs since
Specialty taxonomy
208600000X — NUCC code
State license (1)
Illinois #036153868

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1053798264. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
296
Distinct HCPCS
8
Medicare allowed
$44,873
HCPCS Description Services Patients Avg allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 69 39 $77
99213 Established patient office or other outpatient visit, 20-29 minutes 62 45 $87
99203 New patient office or other outpatient visit, 30-44 minutes 45 45 $106
99204 New patient office or other outpatient visit, 45-59 minutes 36 36 $161
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 31 31 $127
99214 Established patient office or other outpatient visit, 30-39 minutes 25 24 $119
47562 Removal of gallbladder using an endoscope 15 15 $635
49650 Repair of groin hernia using an endoscope 13 13 $550

In context: peer comparison

Among 11 peers in Shreveport Surgery Physician, average services per provider: 50. This provider delivers 5.9× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$1,534
Transactions
8
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
Intuitive Surgical, INC. 4 $1,163.82
Davol INC. 3 $242.97
Conmed Corporation 1 $127.06

By nature of payment

Food and Beverage
$767
Travel and Lodging
$758
Gift
$9

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
36
Patients
35
Total drug cost
$91
Drug Type Claims Patients Total cost
Ondansetron Hcl Generic 19 19 $52
Oxycodone Hcl Generic 17 16 $39

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Jennifer Kim's medical specialty?
Dr. Jennifer Kim practices Surgery Physician in Shreveport, LA.
Where does Dr. Jennifer Kim practice?
Dr. Jennifer Kim practices at 1501 Kings Hwy, Shreveport, LA 711034228. Office phone: 3186752655.
What is Dr. Jennifer Kim's NPI?
Dr. Jennifer Kim's National Provider Identifier (NPI) is 1053798264, issued by NPPES.
Does Dr. Jennifer Kim accept Medicare assignment?
Yes. Dr. Jennifer Kim accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jennifer Kim commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.