Stacy Kim, MD
NPI 1306289509ActiveIndividual· Radiology, Diagnostic Radiology· Rochester, MN
Radiology, Diagnostic Radiology (MD) with Washington University and 1 other group, practicing in Rochester, Minnesota. Medicare paid $79,469 for services to 1,933 patients in 2024. Lists Barnes Jewish Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1306289509 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 8, 2013 |
| Last updated in NPPES | Sep 10, 2026 |
| Certified by provider | Sep 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 83697 | MN |
| Radiology, Diagnostic Radiology | 2085R0202X | 2021007969 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,933 |
|---|---|
| Services billed | 2,873 across 65 procedure codes |
| Paid by Medicare | $79,469 |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Washington UniversitySaint Louis, MO · 3,029 clinicians
- Miracl LLCRolla, MO · 98 clinicians
Hospital affiliations
- Barnes Jewish HospitalSaint Louis, MO
- Barnes-Jewish West County HospitalCreve Coeur, MO
- Christian Hospital NortheastSaint Louis, MO
- Missouri Baptist Medical CenterSaint Louis, MO
- Phelps County Regional Medical CenterRolla, MO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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