NPI Details
DR. Charles Kim, M.D. is an ophthalmic plastic and reconstructive surgery ophthalmology in Stockton, CA with 16 years of experience. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. DR. Charles Kim, M.D. NPI is 1104242924. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduation Year:2010
The provider's business location address is:
1899 W MARCH LN
STOCKTON, CA
ZIP 95207-402
Phone: (209) 623-4700
Fax: (209) 623-4710
The NPI 1104242924 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient complete exam of visual system (HCPCS:92014)
- Exam of the internal drainage system of eye (HCPCS:92020)
- New patient complete exam of visual system (HCPCS:92004)
- Established patient problem focused exam of visual system (HCPCS:92012)
- Exam of visual field with extended testing (HCPCS:92083)
- Imaging of optic nerve (HCPCS:92133)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Imaging of retina (HCPCS:92134)
- Imaging of front third of eye (HCPCS:92132)
- Measurement of corneal curvature and depth of eye (HCPCS:92136)
- Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
- Ultrasound scan of cornea to determine thickness (HCPCS:76514)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
- Photography of the retina (HCPCS:92250)
- Exam of visual field with limited testing (HCPCS:92081)
- Cataract surgery (HCPCS:NAN11)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 3/18/2014 and was last updated on 11/2/2020.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207W00000X | Ophthalmology | | A142099 | CALIFORNIA | No |
| 2 | 207WX0200X | Ophthalmology | Ophthalmic Plastic and Reconstructive Surgery | A142099 | CALIFORNIA | Yes |