JOHN JIN KIM (M.D.) – Ophthalmology Physician, NPI 1508050220

JOHN JIN KIM (M.D.) is a healthcare provider. based in Colton, California. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. A111549 (CA). The NPI Number for JOHN JIN KIM (M.D.) is 1508050220

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
JOHN JIN KIM (M.D.)
NPI
1508050220
Phone
(909) 825-3425
Address
1900 E WASHINGTON ST
Enumeration Date
6 September 2007
Last Update Date
14 April 2014

Doctor Profile

Medical School Name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Secondary Phone
9099828846
Graduation Year
2006 (20 years ago)
PAC ID
8123159548
Group Practice PAC ID
7911966122
Professional Enrollment ID
I20100629000753
Address ID
CA917864904UP555XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,668 OPHTHALMOLOGY in CA

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Provider Addresses for JOHN JIN KIM (M.D.)

  • Washington Street, Colton, San Bernardino County, California, 92350, United States

    COLTON, CA 923244614

    Phone: (909) 825-3425

    Fax: (909) 825-6991

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $413.

Total Amount is formed as General ($413) + Research ($0) + Ownership ($0) = $413.

Last reported payment date: 2024-08-17 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($249).

Total Amount

$413

General + Research + Ownership

Payments

14

Total payment records

General Amount

$413

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-29

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100629000753IOphthalmologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92012Established patient problem focused exam of visual system595442$0
92014Established patient complete exam of visual system577523$0
92133Imaging of optic nerve416403$0
92083Exam of visual field with extended testing410394$0
92136Measurement of corneal curvature and depth of eye9164$0
View full utilization report →

Insurance plans in this area (ZIP 92324)

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Provider's Procedures

JOHN JIN KIM (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYCA92134Diagnostic imaging of retina1818
OPHTHALMOLOGYCA92083Measurement of field of vision during daylight conditions439425

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911966122View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YPA
O P T O M E T R YCA

Reviews

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Frequently asked questions

What is JOHN JIN KIM (M.D.)'s NPI number?
JOHN JIN KIM (M.D.)'s NPI is 1508050220 — the number used across U.S. healthcare to identify this provider.
Would JOHN JIN KIM (M.D.) appear as active to a payer?
You can treat JOHN JIN KIM (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JOHN JIN KIM (M.D.)'s focus?
For JOHN JIN KIM (M.D.), the primary taxonomy reads as Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHN JIN KIM (M.D.)?
Travel planning: use Colton, California as the reference point for JOHN JIN KIM (M.D.), then confirm.
When was this NPI issued?
Enumeration for JOHN JIN KIM (M.D.) is noted as September 6, 2007 where the registry provides it.

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