CHARLES CHOL BAE KIM (MD) – Adult Medicine Physician, NPI 1225564818
Adult Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,317 GENERAL SURGERY in CA
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Provider Addresses for CHARLES CHOL BAE KIM (MD)
Newport Avenue, Cowan Heights, North Tustin, Orange County, California, 92780, United States
TUSTIN, CA 927806058
Phone: (714) 831-1112
Fax: (714) 486-2309
Type: Mailing
1200 W MOHAVE RD
PARKER, AZ 853446349
Phone: (928) 669-7380
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-04-05 • Largest payer in this snapshot: Harrow Eye, LLC ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Harrow Eye, LLC | $20 |
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: 2020-12-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20171031002424 | I | Family Practice | CA | TBD |
| I20201207002894 | I | General Surgery | AZ | 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 |
|---|---|---|---|---|
| 97610 | Therapy procedure using ultrasound | 2,120 | 292 | $0 |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 1,183 | 121 | $0 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 1,097 | 288 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 482 | 164 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 447 | 43 | $0 |
Insurance plans in this area (ZIP 92780)
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