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

Jeffrey D. Kim, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1558311092

Jeffrey D. Kim, DO practises Sports Medicine in Erie, Pennsylvania. Graduated from University of New England, College of Osteo Medicine in 2003, 23 years ago. Practices with St Vincent Medical Education and Research Institute Inc, a 299-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
23
Trained at
University of New England, College of Osteo Medicine
Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4247 W Ridge Rd Ste 105
Erie, PA 16506-1746
Phone: (814) 838-2468
Fax: (814) 835-2599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS013025 (PA)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence OS013025 (PA)

Record details

NPI number1558311092
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2003 (23 years in practice)
Group practice St Vincent Medical Education And Research Institute Inc — 299 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 patients177
Services billed 2,065 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

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.

  • Saint Vincent Hospital Hospital · Erie, PA

Colleagues at St Vincent Medical Education and Research Institute Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 299 clinicians in the practice; 12 are shown here.

Other providers in Erie