Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. John Hyung-Sun Kim , DO

Surgery โ€ข Urbana, IL

Active NPI 1497799613 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

611 W. Park St.
Urbana, IL 618012500

Call 2173833240 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

611 W. Park St.

Urbana, IL 618012500

Telephone 2173833240
Fax 2173834597
Organization at the Same NPPES Address or Phone
Carle Foundation Hospital Facility NPI 1083736177

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Carle Health Care Incorporated; Kirby Medical Center. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2004

Medicare patients

140 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $14,060 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $12,140 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

20 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$51 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $15.21 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

Years since graduation

22 years (graduated 2004)

CMS Doctors and Clinicians data list 2004 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Kim has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Kim as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Urbana and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 60% of clinicians listed under Surgery in Urbana, IL (2024, 11 clinicians with data). Median for this group: 139. Middle half: 73 to 247.

Fewer Medicare Part B services than 75% of clinicians listed under Surgery in Illinois (2024, 574 clinicians with data). Median for this group: 234. Middle half: 104 to 407.

Medicare-allowed amount

A lower Medicare-allowed amount than 60% of clinicians listed under Surgery in Urbana, IL (2024, 11 clinicians with data). Median for this group: $16,227. Middle half: $9,048 to $28,000.

A lower Medicare-allowed amount than 70% of clinicians listed under Surgery in Illinois (2024, 574 clinicians with data). Median for this group: $32,979. Middle half: $12,408 to $58,178.

Paid by Medicare

A lower Medicare payment amount than 60% of clinicians listed under Surgery in Urbana, IL (2024, 11 clinicians with data). Median for this group: $12,185. Middle half: $7,187 to $21,685.

A lower Medicare payment amount than 65% of clinicians listed under Surgery in Illinois (2024, 574 clinicians with data). Median for this group: $24,820. Middle half: $9,412 to $45,065.

Medicare Part D prescriptions

Fewer Part D prescriptions than 85% of clinicians listed under Surgery in Urbana, IL (2024, 19 clinicians with data). Median for this group: 35. Middle half: 25 to 48.

Fewer Part D prescriptions than 80% of clinicians listed under Surgery in Illinois (2024, 510 clinicians with data). Median for this group: 53. Middle half: 24 to 122.

Part D drug cost

A lower Part D drug cost than 70% of clinicians listed under Surgery in Urbana, IL (2024, 19 clinicians with data). Median for this group: $120. Middle half: $50 to $205.

A lower Part D drug cost than 85% of clinicians listed under Surgery in Illinois (2024, 510 clinicians with data). Median for this group: $323. Middle half: $103 to $1,257.

39 active clinicians are listed under Surgery with a practice address in Urbana, IL (1,523 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Urbana

7.7% of these 39 clinicians have the CMS telehealth indicator.

25.6% of these 39 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $15.21.

Manufacturer Payment Nature Product Type Amount ($)
Exact Sciences Corporation
Food and Beverage
In-kind items and services
Cologuard Collection Kit General $15.21

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
21 21 $371.43 $76.27
45380 Biopsy of large bowel using a flexible endoscope
18 18 $2626.33 $143.39
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
16 13 $190.00 $48.18
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
15 15 $1507.20 $177.99
45380 Biopsy of large bowel using a flexible endoscope
14 14 $2652.00 $267.63
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
11 11 $3123.82 $244.54

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 20 74 $50.55 20

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-03-22
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES IL 036136219

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

License # reported to NPPES NE 470

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20150211001873

Enrollment State Jurisdiction

IL

PECOS Control ID

8729234356

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012500

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Kirby Medical Center

1000 Medical Ctr Dr, Monticello, IL 618562116

Kirby Medical Center

1000 Medical Ctr Dr, Monticello, IL 618562116

Phone: 2177621540

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Mattie Arseneaux

Surgery - Trauma Surgery

NPI 1295260032
Umakanth Avula

Surgery - Trauma Surgery

NPI 1124479167
NPI 1063446193

Doctor of Medicine (M.D.)

NPI 1407202450

Doctor of Osteopathic Medicine (D.O.)

NPI 1447212733

Doctor of Medicine (M.D.)

Jennifer Durst , APN

Nurse Practitioner - Family

NPI 1902236623

Advanced Practice Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Business Mailing Address March 30, 2022

Registered at 611 W. PARK ST., FAPC, URBANA, IL 618012500

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2022

Military Health Care Provider (license number reported to NPPES: NE 470)

โœ…
NPI Profile Active January 23, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 23, 2015

Registered at 611 W. PARK ST., URBANA, IL 618012500 (Tel: 2173833240)

๐Ÿ“
Business Mailing Address (Initial Record) January 23, 2015

Registered at 611 W. PARK ST., BWPC, URBANA, IL 618012500 (Tel: 2173836792)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 23, 2015

Recorded as JOHN KIM, D.O.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2015

Surgery (license number reported to NPPES: IL 036136219)

๐ŸŸข
Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497799613
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2006
Last Update: March 30, 2022
Sole Proprietor: No

Other Surgery Specialists in Urbana

All Surgery Specialists in Urbana

Mailing Address

611 W. Park St., Fapc

Urbana, IL 618012500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.