Samuel Kim, MD
NPI 1720379100 · Retina Specialist (Ophthalmology) Physician · Upland, CA
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Kim, MD is a Retina Specialist (Ophthalmology) Physician provider in Upland, CA (NPI 1720379100).
Provider details
- NPI number
- 1720379100
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
4,212 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Complete Exam of Visual System92014 | 1,459 | $130 |
| Imaging of Retina92134 | 1,286 | $42 |
| Injection of Drug Into Eye67028 | 994 | $133 |
| Photography of the Retina92250 | 373 | $38 |
| Established Patient Problem Focused Exam of Visual System92012 | 65 | $90 |
| 2d Ultrasound Scan of Eye Tissue and Structures76512 | 18 | $49 |
| Destruction of Leaking Blood Vessels of Retina Using Laser67228 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 343 | 116 |
| Prednisolone Acetate | 200 | 131 |
| Timolol Maleate | 146 | 47 |
| Brimonidine Tartrate | 132 | 53 |
| Ofloxacin | 93 | 75 |
| Ketorolac Tromethamine | 76 | 34 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 67 | 31 |
| Dorzolamide Hcl | 42 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$305 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 11370 Anderson St Ste 1800Loma Linda, CA 92354-3450Phone: (909) 558-2154Fax: (909) 558-2180
- 7501 Greenway Center Dr # 300Greenbelt, MD 20770-3514Phone: (301) 474-4679Fax: (301) 474-7182
Registry dates
- Enumerated
- 2011-04-20
- Last updated
- 2020-06-24
- Certified
- 2020-06-24
Frequently asked questions
- What is Samuel Kim's NPI number?
- Samuel Kim's National Provider Identifier (NPI) is 1720379100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Kim's specialty?
- Samuel Kim is listed in the NPPES registry with a primary specialty of Retina Specialist (Ophthalmology) Physician (Allopathic & Osteopathic Physicians).
- Where is Samuel Kim located?
- Samuel Kim's practice location on file with NPPES is 555 N 13th Ave, Upland, CA 91786-4904.
- What is Samuel Kim's phone number?
- The practice phone number listed in the NPPES registry for Samuel Kim is (909) 982-8846.
- Does Samuel Kim accept Medicare?
- Samuel Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Kim's NPI active?
- Yes — Samuel Kim's NPI (1720379100) is active in the NPPES registry as of the last update on 2020-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.