2026 NPPES data Specialist NPI 1154361434 M.D.
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CHARLES KIM, M.D.

Specialist in SAINT PAUL, Minnesota. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
395
Medicare Part D claims · 58 beneficiaries · Specialist avg: 1K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.4268/100
▲ 8 pts above national avg 83.1 · [object Object]

What the federal data shows

CHARLES KIM, M.D. reported a CMS MIPS final score of 91.4268/100 — above the 83.1 national average — and filed 395 Medicare Part D claims in 2023.

91.4268/100
MIPS score · +8 vs avg
395
Part D claims, 2023
96%
generic prescribing

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

CHARLES KIM, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

91 Top 37% higher than 63% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about CHARLES KIM, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/07/2006

NPI 1154361434

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

395 73% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

91.4268/100 8.326800000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Minnesota

How Specialist compares to other specialties among Minnesota providers

Minnesota providers

Specialist share within Minnesota

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Minnesota

Medicare quality performance — MIPS

CHARLES KIM, M.D.'s 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
91.4268/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 91.4268/100 vs national avg 83.1

0%100%National avg83%91.4%
MIPS final score (Specialist) — 91.4268/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

CHARLES KIM, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 631 CLEVELAND AVE S STE 5, SAINT PAUL, MN, 55116, with a listed phone of (984) 377-3422. NPI 1154361434 was issued on 06/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KIM most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 395 prescription claims written by this provider, covering 58 Medicare beneficiaries and totaling roughly $13K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 47.1%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.4268/100 for the 2023 performance year (Quality 78.7821, Cost 62.8019), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

631 CLEVELAND AVE S STE 5
SAINT PAUL, MN 55116

Provider Details

NPI 1154361434
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 06/07/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

91.4268
Final Score
Avg: 83.1
78.7821
Quality
62.8019
Cost
100
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Generic-heavy

CHARLES KIM, M.D. — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 395 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

395
Total Claims
$13K
Total Drug Cost
58
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
400
Total Day Supply
7,522
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$520
Generic Drug Cost
$12K
Opioid Claims
186 (47.1% rate)

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
2.96
Gender Split
62% female / 38% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What CHARLES KIM, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Pregabalin
74
Oxycodone Hcl
61
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
58
Tramadol Hcl
39
Gabapentin
25
Hydromorphone Hcl
17
Meloxicam
16
Celecoxib
13
Cyclobenzaprine Hcl
12
Triamcinolone Acetonide
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Specialist Overview

How CHARLES KIM, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

CHARLES KIM, M.D.'s 395 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Minnesota

Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as KIM.

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is CHARLES KIM, M.D.'s specialty?
CHARLES KIM, M.D. specializes in Specialist and practices in SAINT PAUL, Minnesota. Credentials: M.D..
How much does CHARLES KIM, M.D. prescribe under Medicare Part D?
In 2023, CHARLES KIM, M.D. wrote 395 Medicare Part D claims totaling $13K in drug costs for 58 beneficiaries.
What is CHARLES KIM, M.D.'s Medicare quality score?
CHARLES KIM, M.D. has a CMS MIPS Final Score of 91.4268/100 (Quality: 78.7821, Cost: 62.8019). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CHARLES KIM, M.D. located?
CHARLES KIM, M.D. is located at 631 CLEVELAND AVE S STE 5, SAINT PAUL, MN, 55116. Phone: (984) 377-3422.
What is CHARLES KIM, M.D.'s NPI number?
CHARLES KIM, M.D.'s National Provider Identifier (NPI) is 1154361434, issued on 06/07/2006.
Does CHARLES KIM, M.D. prescribe more brand-name or generic drugs?
CHARLES KIM, M.D.'s prescribing is 4% brand-name and 96% generic drugs by claim count, with $520 in brand drug costs.
Does CHARLES KIM, M.D. prescribe opioids?
Yes, CHARLES KIM, M.D. had 186 opioid claims in 2023 with an opioid prescribing rate of 47.1%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does CHARLES KIM, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CHARLES KIM, M.D.'s most frequently prescribed drugs include Pregabalin, Oxycodone Hcl, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CHARLES KIM, M.D. accept Medicare?
CHARLES KIM, M.D. appears in CMS Medicare data with 395 Part D claims and 58 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CHARLES KIM, M.D.'s credentials?
CHARLES KIM, M.D.'s NPI is 1154361434 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology