DR. MICHAEL SUNGJIN KONG (M.D.) – Otolaryngology Physician, NPI 1477524015
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,359 OTOLARYNGOLOGY in CA
Provider Addresses for DR. MICHAEL SUNGJIN KONG (M.D.)
COMNAVSURFOR MEDICAL DEPT (CODE N01MA)
2841 RENDOVA ROAD
SAN DIEGO, CA 921555491
Phone: (619) 437-2860
Fax: (619) 437-2700
Type: Location
22180 OLYMPIC COLLEGE WAY NW
SUITE 202
POULSBO, WA 98370
Phone: (360) 697-1414
Fax: (360) 697-3939
Type: Mailing
Boone Road, Jackson Park, Jackson Park Support Area, Kitsap County, Washington, 98312, United States
BREMERTON, WA 983121894
Phone: (360) 475-5115
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $313.
Total Amount is formed as General ($313) + Research ($0) + Ownership ($0) = $313.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: GENZYME CORPORATION ($143).
Total Amount
$313
General + Research + Ownership
Payments
13
Total payment records
General Amount
$313
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $143 |
| GlaxoSmithKline, LLC. | $71 |
| ALK-Abello, Inc | $68 |
| Merck Sharp & Dohme LLC | $17 |
| kaleo, Inc. | $14 |
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: 2020-07-21
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 |
|---|---|---|---|---|
| I20200721002343 | I | Otolaryngology | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92155)
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