TED KAI-I LIN (MD) – Sports Medicine (Family Medicine) Physician, NPI 1518092683

TED KAI-I LIN (MD) is a healthcare provider. based in Leadville, Colorado. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 42270 (CO). The NPI Number for TED KAI-I LIN (MD) is 1518092683

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
TED KAI-I LIN (MD)
NPI
1518092683
Phone
(719) 486-1264
Address
822 W 4th St
Enumeration Date
22 February 2007
Last Update Date
23 May 2023

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8008132000
Graduation Year
2002 (24 years ago)
PAC ID
6204931603
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20080815000542
Address ID
OR971247135HI3175XDRXX400

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Secure Messaging
cch@direct.slvrmc.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

2,667 FAMILY PRACTICE in CO

Provider Addresses for TED KAI-I LIN (MD)

  • 822 W 4th St

    Leadville, CO 804613861

    Phone: (719) 486-1264

    Fax: (719) 486-1286

    Type: Location

  • 23500 US Highway 160

    Walsenburg, CO 810899524

    Phone: (719) 738-5100

    Fax: (719) 738-5138

    Type: Location

  • 23500 US HIGHWAY 160

    WALSENBURG, CO 810899524

    Phone: (719) 738-5100

    Fax: (719) 738-5138

    Type: Mailing

  • 11511 NE 10TH ST

    BELLEVUE, WA 980048578

    Phone: (425) 502-3000

    Fax: (425) 502-4233

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-11-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070413000078IFamily PracticeCOTBD
I20080815000542IFamily PracticeORTBD
I20221109000002IFamily PracticeWATBD

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.

Verify on CMS Revalidation Lookup Tool

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 80461)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799688230View full group profile

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference TED KAI-I LIN (MD)?
For TED KAI-I LIN (MD), use NPI 1518092683 as the unique 10-digit identifier.
Is there an active status for TED KAI-I LIN (MD)?
For scheduling context, TED KAI-I LIN (MD) is shown as active in the registry.
What kind of doctor is TED KAI-I LIN (MD)?
TED KAI-I LIN (MD) is associated with Sports Medicine (Family Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with TED KAI-I LIN (MD)?
Directory geography for TED KAI-I LIN (MD) centers on Leadville, Colorado.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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