DR. CHIN SE KIM (M.D.) – Sports Medicine (Neuromusculoskeletal Medicine) Physician, NPI 1477564607
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21,511 INTERNAL MEDICINE in CA
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Provider Addresses for DR. CHIN SE KIM (M.D.)
1736, West Medical Center Drive, Anaheim, Orange County, California, 92801, United States
SUITE B
ANAHEIM, CA 928011854
Phone: (714) 520-0809
Fax: (714) 520-0835
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 103 Open Payments records for all available years, with a total value of $1,969.
Total Amount is formed as General ($1,969) + Research ($0) + Ownership ($0) = $1,969.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Amgen Inc. ($1,131).
Total Amount
$1,969
General + Research + Ownership
Payments
103
Total payment records
General Amount
$1,969
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $1,131 |
| Novo Nordisk Inc | $232 |
| Exact Sciences Corporation | $219 |
| Bioventus LLC | $83 |
| Lundbeck LLC | $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: 2005-06-16
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 |
|---|---|---|---|---|
| I20050616000376 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| J7329 | Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg | 49,876 | 339 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 2,488 | 659 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 2,259 | 792 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 830 | 404 | $0 |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 536 | 108 | $0 |
Insurance plans in this area (ZIP 92801)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | CA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 1177 | 588 |
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