TANNER KIM (M.D.) – Vascular Surgery Physician, NPI 1154778249
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
120 VASCULAR SURGERY in CT
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Provider Addresses for TANNER KIM (M.D.)
800, Howard Avenue, New Haven, New Haven County, Connecticut, 06519, United States
YALE PHYSICIANS BUILDING, 2ND FLOOR
NEW HAVEN, CT 065191369
Phone: (203) 785-5000
Type: Mailing
1301 PUNCHBOWL ST
HONOLULU, HI 968132499
Phone: (808) 691-1000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $5,602.
Total Amount is formed as General ($5,602) + Research ($0) + Ownership ($0) = $5,602.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($1,963).
Total Amount
$5,602
General + Research + Ownership
Payments
60
Total payment records
General Amount
$5,602
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $1,963 |
| Penumbra, Inc. | $1,346 |
| Inari Medical, Inc. | $661 |
| Silk Road Medical, Inc. | $489 |
| Abbott Laboratories | $185 |
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: 2022-08-17
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 |
|---|---|---|---|---|
| I20220817003515 | I | Vascular Surgery | HI | 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 |
|---|---|---|---|---|
| 93880 | Ultrasound of both sides of head and neck blood flow | 206 | 206 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 138 | 130 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 133 | 128 | $0 |
| 93925 | Ultrasound of leg arteries or artery grafts | 70 | 70 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 50 | 50 | $0 |
Insurance plans in this area (ZIP 06519)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | HI | |
| Diagnostic Radiology | MD | |
| Internal Medicine | HI | |
| H O S P I T A L I S T | KY | |
| Nurse Practitioner | HI | |
| Interventional Radiology, Neurosurgery | MD | |
| Family Practice | NY | |
| Internal Medicine | HI | |
| Interventional Cardiology, Internal Medicine | MT | |
| Geriatric Medicine, Internal Medicine | HI |
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