DR. CHOLL WAN KIM (M.D., PH.D) – Orthopaedic Surgery of the Spine Physician, NPI 1124043765

DR. CHOLL WAN KIM (M.D., PH.D) is a healthcare provider. based in San diego, California. specializing in Orthopaedic Surgery of the Spine Physician. They hold the professional credentials M.D., PH.D. They hold a License No. A64323 (CA). The NPI Number for DR. CHOLL WAN KIM (M.D., PH.D) is 1124043765

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHOLL WAN KIM (M.D., PH.D)
NPI
1124043765
Phone
(619) 344-6918
Address
6719 ALVARADO RD STE 304
Enumeration Date
13 July 2006
Last Update Date
12 December 2022

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
6192657912
Graduation Year
1996 (30 years ago)
PAC ID
6002968492
Group Practice PAC ID
6608802806
Professional Enrollment ID
I20090820000760

Contacts

Secure Messaging
chollkim@excelspine.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for DR. CHOLL WAN KIM (M.D., PH.D)

  • 6719 ALVARADO RD STE 304

    SAN DIEGO, CA 921205265

    Phone: (619) 344-6918

    Fax: (619) 333-6029

    Type: Location

  • 6719 ALVARADO RD STE 308

    SAN DIEGO, CA 921205268

    Phone: (619) 344-6918

    Fax: (619) 333-6029

    Type: Location

  • Alvarado Road, Montezuma Mesa, Del Cerro, San Diego, San Diego County, California, 92182, United States of America

    SAN DIEGO, CA 921205270

    Phone: (619) 265-7912

    Fax: (619) 265-7922

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 135 Open Payments records for all available years, with a total value of $1,236,971.

Total Amount is formed as General ($1,236,971) + Research ($0) + Ownership ($0) = $1,236,971.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Globus Medical, Inc. ($1,023,434).

Total Amount

$1,236,971

General + Research + Ownership

Payments

135

Total payment records

General Amount

$1,236,971

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes12292$0
99214Established patient office or other outpatient visit, 30-39 minutes4338$0
99215Established patient office or other outpatient visit, 40-54 minutes4236$0
99212Established patient office or other outpatient visit, 10-19 minutes3429$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion2212$0
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Insurance plans in this area (ZIP 92120)

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Provider's Procedures

DR. CHOLL WAN KIM (M.D., PH.D) performs procedures in Orthopaedic Surgery of the Spine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYCA22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments2323

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608802806View full group profile
NameSpecialtyState
-CA
Physician AssistantCA
Orthopedic SurgeryCA
Orthopedic SurgeryCA
Physician AssistantID
Orthopedic SurgeryCA
Physician AssistantCA
Physician AssistantCA

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Frequently asked questions

What unique ID ties claims to DR. CHOLL WAN KIM (M.D., PH.D)?
NPI 1124043765 is assigned to DR. CHOLL WAN KIM (M.D., PH.D) under the national enumeration system.
Does this profile mean DR. CHOLL WAN KIM (M.D., PH.D) is currently active?
Yes — DR. CHOLL WAN KIM (M.D., PH.D) appears active in the national provider directory.
What field does DR. CHOLL WAN KIM (M.D., PH.D) work in?
You can think of DR. CHOLL WAN KIM (M.D., PH.D) as practicing within Orthopaedic Surgery of the Spine Physician. Clinical services aligned with this taxonomy classification.
Does DR. CHOLL WAN KIM (M.D., PH.D) practice in California?
You will see San Diego, California on file for DR. CHOLL WAN KIM (M.D., PH.D) alongside any extra practice locations.
Is DR. CHOLL WAN KIM (M.D., PH.D) a real provider?
This page reflects official NPPES data for NPI 1124043765. Always confirm identity and privileges with the practice and licensing boards.

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