HAN SOO KIM (M.D.) – Surgery Physician, NPI 1124078282
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,317 GENERAL SURGERY in CA
Provider Addresses for HAN SOO KIM (M.D.)
316 S Stratford Ave Ste B
Santa Maria, CA 934545908
Phone: (805) 332-8446
Fax: (805) 332-8483
Type: Location
Goleta, Candeán, Vigo, Pontevedra, Galicia, 36317, Spain
GOLETA, CA 931161206
Phone: (805) 964-3838
Fax: (805) 683-3400
Type: Mailing
East Church Street, Santa Maria, Santa Barbara County, California, 93454, United States
SUITE 204
SANTA MARIA, CA 93454
Phone: (805) 346-3456
Fax: (805) 347-3457
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,864.
Total Amount is formed as General ($1,864) + Research ($0) + Ownership ($0) = $1,864.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Cornerstone Medical Associates, Inc. ($890).
Total Amount
$1,864
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,864
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-04-20
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 |
|---|---|---|---|---|
| I20060420000291 | I | General Surgery | CA | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 94 | 49 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 76 | 62 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 74 | 74 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 65 | 65 | $0 |
| 20600 | Aspiration and/or injection of fluid from small joint | 30 | 25 | $0 |
Insurance plans in this area (ZIP 93454)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | CA | 20610 | Aspiration and/or injection of large joint or joint capsule | 24 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| General Surgery | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| General Surgery | CA |
Reviews
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