Doctor profile · Federal record
Dr. Shane Kim, MD
Plastic Surgery Physician (CMS: Plastic and Reconstructive Surgery) · Portland, OR
- NPI 1871623678
- Accepts Medicare
- MIPS 85.3 / 100 · 2023
- 24 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1130 Nw 22Nd Ave Ste 420
Portland, OR 972102995
(503) 413-4992
fax (503) 413-3699
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- July 15, 2013
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 208200000X — NUCC code
- State license (1)
- Oregon #MD29423
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1871623678. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
189
Distinct HCPCS
6
Medicare allowed
$33,561
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99204 |
New patient office or other outpatient visit, 45-59 minutes | 69 | 69 | $166 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 41 | 36 | $88 | |
29848 |
Release of wrist ligament using an endoscope | 26 | 24 | $567 | |
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 25 | 21 | $1 | |
20550 |
Injection into tendon or ligament | 14 | 11 | $54 | |
26055 |
Incision of tendon covering of finger | 14 | 11 | $210 |
In context: peer comparison
Among 5 peers in Portland Plastic Surgery Physician, average services per provider: 50. This provider delivers 3.8× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
27
Patients
26
Total drug cost
$184
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 15 | 15 | $73 |
| Cephalexin | Generic | 12 | 11 | $111 |
Hospital affiliations
Frequently asked questions
What is Dr. Shane Kim's medical specialty?
Dr. Shane Kim practices Plastic Surgery Physician in Portland, OR.
Where does Dr. Shane Kim practice?
Dr. Shane Kim practices at 1130 Nw 22Nd Ave Ste 420, Portland, OR 972102995. Office phone: 5034134992.
What is Dr. Shane Kim's NPI?
Dr. Shane Kim's National Provider Identifier (NPI) is 1871623678, issued by NPPES.
Does Dr. Shane Kim accept Medicare assignment?
Yes. Dr. Shane Kim accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shane Kim commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99213); Release of wrist ligament using an endoscope (HCPCS 29848). Source: CMS Medicare Physician & Other Practitioners file.