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Dr. Jiwon Lim , DMD, MPH

Dentist β€’ Charlottesville, VA

Active NPI 1417573312 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1222 Jefferson Park Ave
Charlottesville, VA 229033410

Call 4349241774 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

1222 Jefferson Park Ave

Charlottesville, VA 229033410

Telephone 4349241774
Fax 4349826417
Organization at the Same NPPES Address or Phone
University Of Virginia Physicians Group Facility NPI 1023565496

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 1 group name: University Of Virginia Physicians Group. 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

Medical School

East Carolina University School Of Dentistry

Graduation Year

2021

30-day fills

84 standardized 30-day fills in 2023

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

$2,427 in 2023

The total cost of these prescriptions in 2023, 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 – by Provider and Drug, 2023.

Open Payments general payments, program year 2024

All general payments: $96.60 across 2 records.

By nature of payment

  • Food and Beverage: $96.60 across 2 records.

Reporting-company totals

  • ZIMVIE INC.: $79.48 across 1 record.
  • Stryker Corporation: $17.12 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 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

2020

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, β€œDoes your provider accept Medicare as full payment?”

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. Lim 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. Lim 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 Charlottesville and Virginia

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Lim are from 2023.

59 active clinicians are listed under Dentist with a practice address in Charlottesville, VA (2,405 in Virginia).

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

Telehealth indicator in Charlottesville

0% of these 59 clinicians have the CMS telehealth indicator.

6.8% of these 59 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2023), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· 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 Β· Program Year 2024

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $96.60.

Manufacturer Payment Nature Product Type Amount ($)
ZIMVIE INC.
Food and Beverage
In-kind items and services
Virtual Implant Planning General $79.48
Stryker Corporation
Food and Beverage
In-kind items and services
NA General $17.12

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

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D Β· Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Dexamethasone Dexamethasone 19 393 $304.91 β€”
Chlorhexidine Gluconate Chlorhexidine Gluconate 16 465 $68.64 β€”
Clotrimazole Clotrimazole 15 758 $713.38 β€”
Clobetasol Propionate Clobetasol Propionate 12 224 $865.40 β€”
Cevimeline Hcl Cevimeline Hcl 11 314 $474.87 β€”

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-09
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES VA 0411000075

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES NC 11867

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Oral Medicinist

NUCC Taxonomy Code: 125Q00000X

License # reported to NPPES VA 0411000075

A dentist with advanced training specializing in the recognition and treatment of oral conditions resulting from the interrelationship between oral disease and systemic health. The Oral Medicinist manages clinical and non-surgical treatment of non-dental pathologies affecting the oral and maxillofacial region, such as cancer, organ transplants, and acute and chronic pain. Activities include provision of interdisciplinary patient care in collaboration with medical specialists and other dentists in hospitals and outpatient medical clinics in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention.

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: Virginia Department of Health Professions.
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 - DENTIST

Medicare Enrollment ID

I20250410001757

Enrollment State Jurisdiction

VA

PECOS Control ID

5193128346

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not 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

University Of Virginia Physicians Group

1222 Jefferson Park Ave, Charlottesville, VA 229080740

Phone: 4349241774

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
NPI 1336707835

Doctor of Dental Surgery

NPI 1285081794
NPI 1417534660
NPI 1760809354

Doctor of Dental Surgery

NPI 1467893636
NPI 1023222346

Doctor of Dental Surgery

Career & Practice History Timeline

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

13 Historical Events
πŸ“
Updated Practice Location April 09, 2025

Registered at 1222 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 229033410 (Tel: 4349241774)

πŸ“
Updated Business Mailing Address April 09, 2025

Registered at PO BOX 749112, ATLANTA, GA 303749112 (Tel: 4342951000)

πŸ‘€
Provider Name / Credentials Updated April 09, 2025

Recorded as JIWON LIM, DMD, MPH

πŸ“
Updated Practice Location June 28, 2023

Registered at 10 CENTER DR, BETHESDA, MD 208923825 (Tel: 3018277759)

πŸ“
Updated Business Mailing Address June 28, 2023

Registered at 7700 MARITIME LN, SPRINGFIELD, VA 221531630 (Tel: 3366922211)

πŸ“
Updated Practice Location December 01, 2022

Registered at 1601 ABBEY PL STE 220, CHARLOTTE, NC 282093825 (Tel: 7045122110)

πŸ“
Updated Business Mailing Address December 01, 2022

Registered at 1415 ABBEY PL APT 105, CHARLOTTE, NC 282093064 (Tel: 3366922211)

βœ…
NPI Profile Active June 18, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 18, 2020

Registered at 1500 E MEDICAL CENTER DR FL 2C213, ANN ARBOR, MI 481095000 (Tel: 7349365950)

πŸ“
Business Mailing Address (Initial Record) June 18, 2020

Registered at 1107 NIELSEN CT APT 6, ANN ARBOR, MI 481051945 (Tel: 3366922211)

πŸ‘€
Provider Name / Credentials (Initial Record) June 18, 2020

Recorded as JIWON LIM, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2020

Dentist (license number reported to NPPES: NC 11867)

🟒
Initial NPI Registration & Enumeration June 17, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417573312
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2020
Last Update: April 09, 2025
Sole Proprietor: Yes

Other Dentists in Charlottesville

All Dentists in Charlottesville

Mailing Address

Po Box 749112

Atlanta, GA 303749112

Phone: 4342951000

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.