THEODORE Y KIM (D.O.) – Specialist, NPI 1952325359
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10 MEDICAL ONCOLOGY in AK
Provider Addresses for THEODORE Y KIM (D.O.)
12001 Business Blvd Ste 3C
Eagle River, AK 995777743
Phone: (907) 562-0321
Fax: (907) 562-2683
Type: Location
PO BOX 74900
CHICAGO, IL 606754900
Phone: (907) 562-0321
Fax: (907) 562-2683
Type: Mailing
3851 PIPER ST STE U340
ANCHORAGE, AK 995086904
Phone: (907) 562-0321
Fax: (907) 562-0321
Type: Location
1415, East Kincaid Street, Mount Vernon, Skagit County, Washington, 98274, United States
MOUNT VERNON, WA 982744126
Phone: (360) 424-4111
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $1,146.
Total Amount is formed as General ($1,146) + Research ($0) + Ownership ($0) = $1,146.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Genentech USA, Inc. ($188).
Total Amount
$1,146
General + Research + Ownership
Payments
52
Total payment records
General Amount
$1,146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $188 |
| Incyte Corporation | $127 |
| PFIZER INC. | $83 |
| Novartis Pharmaceuticals Corporation | $83 |
| ABBVIE INC. | $54 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-05-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180514000783 | I | Medical Oncology | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 15,600 | 26 | $0 |
| J0897 | Injection, denosumab, 1 mg | 10,260 | 32 | $0 |
| J9263 | Injection, oxaliplatin, 0.5 mg | 8,924 | 13 | $0 |
| J1453 | Injection, fosaprepitant, 1 mg | 5,550 | 18 | $0 |
| J9267 | Injection, paclitaxel, 1 mg | 5,081 | 12 | $0 |
Insurance plans in this area (ZIP 99577)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hematology/Oncology, Internal Medicine | AK | |
| Internal Medicine, Hematology/Oncology | AK | |
| Nurse Practitioner | AK | |
| H E M A T O L O G Y/ O N C O L O G Y | AK | |
| Nurse Practitioner | AK | |
| Nurse Practitioner | HI | |
| Hematology, Hematology/Oncology | AK | |
| - | AK | |
| Hematology/Oncology, Hematology, Internal Medicine, Medical Oncology, Medical Oncology | AK | |
| H E M A T O L O G Y/ O N C O L O G Y | AK |
Reviews
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