Doctor profile · Federal record
Dr. Su Gym Kim, M.D.
Interventional Pain Medicine Physician (CMS: Physical Medicine and Rehabilitation) · Interventional Pain Medicine Physician · Providence, RI
- NPI 1235418369
- Accepts Medicare
- 22 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
593 Eddy St, George Building, First Floor
Providence, RI 029034923
(401) 444-3777
fax (401) 444-7249 - Mailing address
-
117 Ellenfield St, Suite 101
Providence, RI 029054513
Credentials & registration
- NPI registered
- August 2011 — 15 yrs on file
- Profile last updated
- October 26, 2021
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 208VP0014X — NUCC code
- State licenses (2)
- Rhode Island #MD15614 · Kentucky #46722
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1235418369. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
417
Distinct HCPCS
6
Medicare allowed
$58,272
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 180 | 118 | $133 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 151 | 151 | $173 | |
64483 |
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 31 | 29 | $127 | |
64484 |
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 23 | 21 | $52 | |
62323 |
Injection of substance into lower spine canal using imaging guidance | 17 | 14 | $103 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 15 | 13 | $95 |
In context: peer comparison
Among 1 peers in Providence Interventional Pain Medicine Physician, average services per provider: 69. This provider delivers 6.0× the peer median.Open Payments
Industry payments received
All-time total
$87
Transactions
4
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 2 | $43.62 | |
| Ipsen Biopharmaceuticals, INC | 1 | $26.99 | |
| Merz Pharmaceuticals, LLC | 1 | $16.09 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
764
Patients
131
Total drug cost
$30,249
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gabapentin | Generic | 211 | 52 | $3,218 |
| Tizanidine Hcl | Generic | 89 | 17 | $2,200 |
| Baclofen | Generic | 85 | 17 | $3,839 |
| Methocarbamol | Generic | 79 | 20 | $1,454 |
| Cyclobenzaprine Hcl | Generic | 66 | 14 | $641 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 41 | 0 | $1,118 |
| Pregabalin | Generic | 27 | 0 | $1,475 |
| Duloxetine Hcl | Generic | 26 | 0 | $895 |
| Meloxicam | Generic | 23 | 0 | $61 |
| Butalbital-Acetaminophen-Caffe (Butalb/Acetaminophen/Caffeine) | Brand | 22 | 0 | $318 |
Hospital affiliations
Frequently asked questions
What is Dr. Su Gym Kim's medical specialty?
Dr. Su Gym Kim practices Interventional Pain Medicine Physician in Providence, RI.
Where does Dr. Su Gym Kim practice?
Dr. Su Gym Kim practices at 593 Eddy St, Providence, RI 029034923. Office phone: 4014443777.
What is Dr. Su Gym Kim's NPI?
Dr. Su Gym Kim's National Provider Identifier (NPI) is 1235418369, issued by NPPES.
Does Dr. Su Gym Kim accept Medicare assignment?
Yes. Dr. Su Gym Kim accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Su Gym Kim commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204); Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS 64483). Source: CMS Medicare Physician & Other Practitioners file.