STEVEN PARK KIM (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1306877006
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,832 PODIATRY in CA
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Provider Addresses for STEVEN PARK KIM (D.P.M.)
3536, Mendocino Avenue, Santa Rosa, Sonoma County, California, 95401, United States
200
SANTA ROSA, CA 954033634
Phone: (707) 575-6049
Fax: (707) 545-0575
Type: Mailing
Wellness Chiropractic, 4761, Hoen Avenue, Santa Rosa, Sonoma County, California, 95405, United States
SANTA ROSA, CA 954057862
Phone: (707) 545-0570
Fax: (707) 545-0575
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $88.
Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.
Last reported payment date: 2023-10-02 • Largest payer in this snapshot: Evolution Surgical, Inc ($44).
Total Amount
$88
General + Research + Ownership
Payments
3
Total payment records
General Amount
$88
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Evolution Surgical, Inc | $44 |
| Stryker Corporation | $44 |
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: 2004-03-05
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 |
|---|---|---|---|---|
| I20040305000498 | I | Podiatry | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,188 | 415 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 711 | 210 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 269 | 269 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 246 | 194 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 160 | 49 | $0 |
Insurance plans in this area (ZIP 95403)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | CA | 11720 | Removal of tissue from 1 to 5 finger or toe nails | 14 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| A L L E R G Y/ I M M U N O L O G Y | CA | |
| - | CA | |
| Hospitalist, Obstetrics/Gynecology | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| A N E S T H E S I O L O G Y | CA |
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