HAENA KIM (MD) – Otolaryngology Physician, NPI 1275799124
Otolaryngology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,359 OTOLARYNGOLOGY in CA
Provider Addresses for HAENA KIM (MD)
455 OCONNOR DR STE 280
SAN JOSE, CA 951281644
Phone: (650) 507-3601
Fax: (650) 396-7922
Type: Location
106, La Casa Via, Walnut Creek, Contra Costa County, California, 94598, United States
SUITE 200
WALNUT CREEK, CA 945983086
Phone: (866) 941-3796
Fax: (925) 278-1481
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $568.
Total Amount is formed as General ($568) + Research ($0) + Ownership ($0) = $568.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: AERIN MEDICAL INC. ($224).
Total Amount
$568
General + Research + Ownership
Payments
16
Total payment records
General Amount
$568
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AERIN MEDICAL INC. | $224 |
| ABBVIE INC. | $150 |
| Medtronic, Inc. | $129 |
| Regeneron Healthcare Solutions, Inc. | $25 |
| Galderma Laboratories, L.P. | $24 |
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: 2023-02-24
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 |
|---|---|---|---|---|
| I20130807000150 | I | Otolaryngology | CA | TBD |
| I20230224000277 | I | Otolaryngology | OR | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 36 | 36 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 16 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
| 69210 | Removal of impacted ear wax | 14 | 12 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 13 | 13 | $0 |
Insurance plans in this area (ZIP 95128)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | OR | |
| Qualified Audiologist | CA | |
| Qualified Audiologist | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Qualified Audiologist | OR | |
| Physician Assistant | OR | |
| O T O L A R Y N G O L O G Y | OR | |
| Otolaryngology, Maxillofacial Surgery, Plastic And Reconstructive Surgery | OR |
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