Roderick Youngdo Kim, DDS, MD
Maxillofacial Surgery (CMS) · Fort Worth, TX
At a glance
1500 S Main St Dept Of, Fort Worth, TX 76104-4917
Published activity: Melanoma (skin cancer) excision. View counts and coverage
NPPES record updated Jun 26, 2024. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
1500 S Main St Dept OfFort Worth, TX 76104-4917
Education & affiliations
- Medical / professional school
- University Of Michigan Medical School
- Graduation year
- 2015
- CMS specialties
- Maxillofacial Surgery
Practice groups
Reported hospital affiliations
- Jps Health Network Fort Worth, TX
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
| Procedure category | Published Medicare activity |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Services other than consulting | $4,800.00 |
| Food and beverage | $1,989.99 |
| Travel and lodging | $62.67 |
Reporting companies
| Company | Amount |
|---|---|
| ACUMED LLC | $4,886.68 |
| KLS-MARTIN L.P. | $743.17 |
| BIOHORIZONS IMPLANT SYSTEMS INC. | $607.67 |
| AXOGEN | $212.96 |
| STRYKER CORPORATION | $140.35 |
| GEISTLICH PHARMA, NORTH AMERICA, INC. | $125.52 |
| STRAUMANN USA LLC | $112.97 |
| INSPIRE MEDICAL SYSTEMS, INC. | $23.34 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Maxillofacial Surgery (CMS)
- Taxonomy code
- 204E00000X
- Enumeration date
- Aug 23, 2011
- Record updated
- Jun 26, 2024
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- DDS, MD
Reported taxonomies and licenses
204E00000X · Primary
License reported: 32838 TX
1223S0112X
License reported: 32838 TX
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1500 S Main St Dept OfFort Worth, TX 76104-4917
- Phone
- (817) 702-6936
Mailing address
1500 SOUTH MAINDEPARTMENT OF OMFS
FORT WORTH, TX 76104
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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