CMS-1500 Box 24J / 33a • NPI
1437715380
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
10 N WATER ST, EVANSVILLE, WI, 53536-1152
✓ 9-Digit EDI 837 ZIP+4 (53536-1152)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1437715380 (JEREMY S KIM, DO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1437715380)
Medicare Beneficiaries
169
Total Billed Services
1,202
Distinct CPT/HCPCS Codes
53
Medicare Allowed Total
$85,342.67
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36415 | Insertion of needle into vein for collection of blood sample | 173 |
81003 | Automated urinalysis test | 15 |
90480 | Admn sarscov2 vacc 1 dose | 46 |
90653 | Influenza vaccine, inactivated | 50 |
90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 |
91322 | Sarscov2 vac 50 mcg/0.5ml im | 41 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 11 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 41 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Acetaminophen-Codeine Acetaminophen With Codeine | 21 | <11 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 55 | 26 |
| Alendronate Sodium Alendronate Sodium | 17 | <11 |
| Allopurinol Allopurinol | 92 | 22 |
| Amlodipine Besylate Amlodipine Besylate | 133 | 37 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 25 | 23 |
| Atenolol Atenolol | 24 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 302 | 79 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1437715380 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JEREMY S KIM, DO |
| Plain-English Specialty | Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: 207Q00000X (Family Medicine) |
| Certifying / Licensing Body | American Board of Family Medicine (ABFM) |
| Practice Location Address | 10 N WATER ST, EVANSVILLE, WI, 53536-1152 |
| Practice Telephone / Fax | Tel: (608) 882-5170 | Fax: (608) 882-6532 |
| Administrative Mailing Address | 10 N WATER ST, EVANSVILLE, WI, 53536-1152 |
| Enumeration & Last Sync | Enumerated: 2019-05-16 | CMS Record Updated: 2022-08-29 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207Q00000X)
What Does Taxonomy Code 207Q00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JEREMY S KIM, DO)
Typical CPT / Diagnostic Procedures:- Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
- Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
- Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
- Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
- Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
- Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
- Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
- Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
- Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: N/A | License: Verified | Primary: Secondary |
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: WI | License: 75634-21 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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