Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Dr. Stacy Kim, MD

Individual provider Diagnostic Radiology Physician · NPI 1306289509

Dr. Stacy Kim, MD practises Diagnostic Radiology in Rochester, Minnesota. Qualified in 2013, 13 years ago. Practices with Miracl LLC, a 97-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Missouri.

Years since qualifying
13
Licensed in
MN, MO
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 — (314) 362-7200

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 83697 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2021007969 (MO)

Record details

NPI number1306289509
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2013
Last updated in NPPESSeptember 10, 2026
Certification dateSeptember 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Miracl Llc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients1,933
Services billed 2,873 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Miracl LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 97 clinicians in the practice; 12 are shown here.

Other providers in Rochester