Doctor profile · Federal record
Dr. Stephen Kim, M.D.
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Diagnostic Radiology Physician · Vascular & Interventional Radiology Physician · Fort Worth, TX
- NPI 1992967293
- 19 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
815 Pennsylvania Ave
Fort Worth, TX 761042224
(817) 321-0404 - Additional location
-
620 W Edison RD, Ste 110
Mishawaka, IN 465452784
(574) 258-1100
fax (574) 258-1101 - Mailing address
-
816 W Cannon St
Fort Worth, TX 761043146
Credentials & registration
- NPI registered
- June 2008 — 18 yrs on file
- Profile last updated
- June 21, 2024
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (2)
- Texas #V0445 · Indiana #01066145A
- Medicaid
- IN #20139730
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1992967293. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
7,627
Distinct HCPCS
10
Medicare allowed
$273,723
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
71045 |
X-ray of chest, 1 view | 877 | 657 | $9 | |
77067 |
Screening mammography | 584 | 584 | $36 | |
77063 |
Screening 3d breast mammography | 581 | 581 | $29 | |
71046 |
X-ray of chest, 2 views | 476 | 456 | $10 | |
70450 |
Ct scan head or brain without contrast | 426 | 392 | $39 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 284 | 267 | $86 | |
77080 |
Dxa bone density measurement of hip, pelvis, spine | 277 | 277 | $9 | |
74176 |
Ct scan of abdomen and pelvis without contrast | 208 | 200 | $83 | |
G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 183 | 171 | $29 | |
78815 |
Nuclear medicine study from skull base to mid-thigh with ct scan | 168 | 152 | $112 |
In context: peer comparison
Among 91 peers in this city , average services per provider: 88. This provider delivers 87× the peer median.Open Payments
Industry payments received
All-time total
$218
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Scientia Vascular | 1 | $190.76 | |
| Philips North America LLC | 1 | $27.66 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Stephen Kim's medical specialty?
Dr. Stephen Kim practices Diagnostic Radiology Physician in Fort Worth, TX.
Where does Dr. Stephen Kim practice?
Dr. Stephen Kim practices at 815 Pennsylvania Ave, Fort Worth, TX 761042224. Office phone: 8173210404.
What is Dr. Stephen Kim's NPI?
Dr. Stephen Kim's National Provider Identifier (NPI) is 1992967293, issued by NPPES.
Does Dr. Stephen Kim accept Medicare assignment?
Dr. Stephen Kim does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Stephen Kim commonly perform?
Top Medicare-reported procedures in 2023: X-ray of chest, 1 view (HCPCS 71045); Screening mammography (HCPCS 77067); Screening 3d breast mammography (HCPCS 77063). Source: CMS Medicare Physician & Other Practitioners file.