Doctor profile · Federal record
Dr. Samuel Kim, OD
Optometrist (CMS: Optometry) · Philadelphia, PA
- NPI 1174257703
- Accepts Medicare
- 4 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1200 W Godfrey Ave
Philadelphia, PA 191413323
(215) 276-6000
fax (215) 276-6096
Credentials & registration
- NPI registered
- July 2022 — 4 yrs on file
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Pennsylvania #OEG003897
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174257703. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
104
Distinct HCPCS
5
Medicare allowed
$11,002
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 39 | 39 | $133 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 24 | 21 | $94 | |
92083 |
Exam of visual field with extended testing | 16 | 15 | $66 | |
92134 |
Imaging of retina | 14 | 14 | $42 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $173 |
In context: peer comparison
Among 43 peers in Philadelphia Optometrist, average services per provider: 55. This provider delivers 1.9× the peer median.Open Payments
Industry payments received
All-time total
$379
Transactions
9
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Oyster Point Pharma, INC. | 3 | $155.68 | |
| Harrow Eye, LLC | 1 | $124.00 | |
| CooperVision INC. | 2 | $39.01 | |
| Bausch & Lomb Americas INC. | 2 | $35.58 | |
| Johnson & Johnson Vision Care, INC. | 1 | $24.52 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
129
Patients
23
Total drug cost
$7,838
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 84 | 23 | $1,115 |
| Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) | Brand | 23 | 0 | $499 |
| Lumigan (Bimatoprost) | Brand | 22 | 0 | $6,223 |
Frequently asked questions
What is Dr. Samuel Kim's medical specialty?
Dr. Samuel Kim practices Optometrist in Philadelphia, PA.
Where does Dr. Samuel Kim practice?
Dr. Samuel Kim practices at 1200 W Godfrey Ave, Philadelphia, PA 191413323. Office phone: 2152766000.
What is Dr. Samuel Kim's NPI?
Dr. Samuel Kim's National Provider Identifier (NPI) is 1174257703, issued by NPPES.
Does Dr. Samuel Kim accept Medicare assignment?
Yes. Dr. Samuel Kim accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Samuel Kim commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Exam of visual field with extended testing (HCPCS 92083). Source: CMS Medicare Physician & Other Practitioners file.