ANDREW JEE SOO KIM MD
NPI 1053670133
Hospitalist in Decatur, GA


Quality Rating: 92.27 out of 100 score

NPI Status: Active since May 10, 2012

Contact Information

2701 N DECATUR RD
DECATUR, GA
ZIP 30033
Phone: (404) 501-1000

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  • Individual
  • Male
  • Years of Experience 14
  • Hospitalist
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About ANDREW KIM

This page provides the complete NPI Profile along with additional information for Andrew Kim, a provider established in Decatur, Georgia with a medical specialization in Hospitalist and more than 14 years of experience. He graduated from State University Of New York Downstate Medical Center in 2012. The healthcare provider is registered in the NPI registry with number 1053670133 assigned on May 2012. The practitioner's primary taxonomy code is 208M00000X with license number 078379 (GA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1053670133
Provider Name
ANDREW JEE SOO KIM MD
Gender
Male
Entity Type
Individual
Location Address
2701 N DECATUR RD DECATUR, GA 30033
Location Phone
(404) 501-1000
Mailing Address
916 HOLLY HEDGE RD STONE MOUNTAIN, GA 30083
Mailing Phone
(914) 714-9363
Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
05-10-2012
Last Update Date
12-21-2018
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Location Map

Secondary Locations

  • 887 N Indian Creek Dr Ste A
    Clarkston, GA 30021
    (470) 799-0044

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
License No.
078379
License State
GA
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

078379 (GA)
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

51074 (TN)
3207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

078379 (GA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Andrew Kim is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Andrew Kim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4688810492

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20171228000432

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    3 DME suppliers used 15 Medicare Claims 15 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 25 times for 12 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 123 times for 57 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 162 times for 79 patients

Hospital discharge day management, more than 30 minutes

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

This service was performed 57 times for 57 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 25 times for 25 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 26 times for 14 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $32.66 for a new patient copayment and $25.05 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30033 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.64
  • Minimum New Patient Price $56.84
  • Maximum New Patient Price $172.43
  • Average New Patient Copayment $32.66
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.1

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.2
  • Minimum Established Patient Price $18.22
  • Maximum Established Patient Price $140.4
  • Average Established Patient Copayment $25.05
  • Minimum Established Patient Copayment $4.55
  • Maximum Established Patient Copayment $35.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.27, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: .

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 92.27 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 76.1

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 94.21

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Breast Cancer Screening 28% 68
Diabetes: Eye Exam 0% 88
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 31% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
88
Documentation of Current Medications in the Medical Record 76% 884
e-Prescribing 99% 370
Preventive Care and Screening: Influenza Immunization 19% 409
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 30% 718
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0% 24
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 46% 385
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 40% 385
Provide Patients Electronic Access to Their Health Information 50% 262

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Andrew Kim is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
EMORY DECATUR HOSPITAL2701 N DECATUR ROAD
DECATUR, GA 30033
(404) 501-1000Acute Care Hospitals

Reviews for ANDREW JEE SOO KIM MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053670133
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103127016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 2 + 7 + 0 + 1 + 6 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1053670133 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912900697DR. STEVE M COVINGTON III M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2701 N DECATUR RD
DECATUR, GA 30033
(404) 501-1000
1427053305 GAIL H WALKER MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2701 N DECATUR RD PATHOLOGY DEPT
DECATUR, GA 30033
(770) 237-4518
1861497786 SONYA BRITTING GREEN PA-C
Individual
Physician Assistant (Medical)2701 N DECATUR RD
DECATUR, GA 30033
(404) 501-1000
1902801723 HILARY KAY HARGREAVES MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2701 N DECATUR RD PATHOLOGY DEPT
DECATUR, GA 30033
(404) 501-1000
1538164355 WILLIAM FRANK MCNEILL MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2701 N DECATUR RD PATHOLOGY DEPT
DECATUR, GA 30033
(404) 501-1000
1679579940 DIANE D. JARRETT MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2701 N DECATUR RD PATHOLOGY DEPT
DECATUR, GA 30033
(404) 501-1000
1437142304MRS. JUSTINE SCHULLER GORTNEY PHARM.D.
Individual
Pharmacist (Pharmacotherapy)2701 N DECATUR RD
DECATUR, GA 30033
(770) 201-9640
1033108345 CYNTHIA C LAMBERT MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2701 N DECATUR RD PATHOLOGY DEPT
DECATUR, GA 30033
(404) 501-1000
1295709038DR. CHRISTOPHER DOOLEY MD
Individual
Radiology (Diagnostic Radiology)2701 N DECATUR RD
DECATUR, GA 30033
(404) 501-5200
1578537262DR. WILLIAM WHITAKER MD
Individual
Radiology (Diagnostic Radiology)2701 N DECATUR RD
DECATUR, GA 30033
(404) 501-5200
1619943230 PAGETT LOUISE BOSSI P. A. - C.
Individual
Physician Assistant (Medical)2701 N DECATUR RD
DECATUR, GA 30033
(404) 616-7630
1215990361DR. JEROME MICHAEL ARMAND M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)2701 N DECATUR RD
DECATUR, GA 30033
(404) 501-1843
1073577094DR. BRIDGET ARNOLD COBB M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)2701 N DECATUR RD
DECATUR, GA 30033
(404) 501-2923
1033167689DR. LAURA SMITH LORD MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)2701 N DECATUR RD
DECATUR, GA 30033
(404) 501-1843
1851339428 RANDALL I NEWMAN MD
Individual
Anesthesiology2701 N DECATUR RD
DECATUR, GA 30033
(404) 501-5265
1700825494 LINDA HERREN CRNA
Individual
Nurse Anesthetist, Certified Registered2701 N DECATUR RD
DECATUR, GA 30033
(404) 501-5265
1114961224 PATRICIA TAYLOR MITCHELL P.A-C
Individual
Physician Assistant2701 N DECATUR RD
DECATUR, GA 30033
(404) 501-1849
1730125790 MICHAEL DAVID SCHWARTZ M.D
Individual
Emergency Medicine2701 N DECATUR RD
DECATUR, GA 30033
(404) 501-1849
1528004538DEKALB ANESTHESIA ASSOCIATES, P A
Organization
Anesthesiology2701 N DECATUR RD
DECATUR, GA 30033
(404) 501-5265
1447280961 ELEANOR GILCHRIST CRNA
Individual
Nurse Anesthetist, Certified Registered2701 N DECATUR RD
DECATUR, GA 30033
(404) 501-5265

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053670133, enumerated in the NPI registry as an "individual" on May 10, 2012

The provider is located at 2701 N Decatur Rd Decatur, Ga 30033 and the phone number is (404) 501-1000

The provider's speciality is Hospitalist with taxonomy code 208M00000X

The provider has more than 14 years of experience. He graduated from State University Of New York Downstate Medical Center in 2012.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information. The provider obtained a high score in the following performance measures: e-Prescribing. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.

Medicare beneficiaries should expect a typical cost of $130.64 with an average copayment of $32.66 for new patient appointments. Established patients should expect a typical charge of $100.2 and an average copayment of 25.05. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 30-39 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Hospital discharge day management, more than 30 minutes, Initial hospital inpatient care per day, typically 70 minutes and Insertion of needle into vein for collection of blood sample.

The practitioner is affiliated to the following hospital(s): EMORY DECATUR HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 10, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.