Doctor profile · Federal record

Dr. Peter Kim

Physician Assistant · Lake Oswego, OR

  • NPI 1629688775
  • Accepts Medicare
  • MIPS 87.8 / 100 · 2023
  • 6 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
4103 Mercantile Dr
Lake Oswego, OR 970352556
(503) 850-9940
fax (503) 850-6709
Additional location
4610 X St
Sacramento, CA 958172200
(734) 214-5916

Credentials & registration

NPPES · NUCC
NPI registered
August 2020 — 6 yrs on file
Profile last updated
February 9, 2021
Year of graduation
2020 — 6 yrs since
Specialty taxonomy
363A00000X — NUCC code

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1629688775. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
14
Distinct HCPCS
1
Medicare allowed
$2,263
HCPCS Description Services Patients Avg allowed
27245 Treatment of broken neck of thigh bone with bone implant 14 14 $162

In context: peer comparison

Among 7 peers in Lake Oswego Physician Assistant, average services per provider: 89. This provider delivers 0.2× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Peter Kim's medical specialty?
Dr. Peter Kim practices Physician Assistant in Lake Oswego, OR.
Where does Dr. Peter Kim practice?
Dr. Peter Kim practices at 4103 Mercantile Dr, Lake Oswego, OR 970352556. Office phone: 5038509940.
What is Dr. Peter Kim's NPI?
Dr. Peter Kim's National Provider Identifier (NPI) is 1629688775, issued by NPPES.
Does Dr. Peter Kim accept Medicare assignment?
Yes. Dr. Peter Kim accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Peter Kim commonly perform?
Top Medicare-reported procedures in 2023: Treatment of broken neck of thigh bone with bone implant (HCPCS 27245). Source: CMS Medicare Physician & Other Practitioners file.