JOHN CHAE KIM (MD) – Obstetrics & Gynecology Physician, NPI 1073554648
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,538 OBSTETRICS/GYNECOLOGY in FL
Provider Addresses for JOHN CHAE KIM (MD)
380 Celebration Place
Second Floor
Celebration, FL 347474606
Phone: (407) 303-4573
Fax: (407) 303-4596
Type: Location
380, Celebration Place, Celebration, Osceola County, Florida, 34747, United States
SECOND FLOOR
CELEBRATION, FL 347474606
Phone: (407) 303-4573
Fax: (407) 303-4596
Type: Mailing
601 E ROLLINS ST
ORLANDO, FL 328031248
Phone: (407) 975-0406
Fax: (407) 975-0407
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $8,078.
Total Amount is formed as General ($8,078) + Research ($0) + Ownership ($0) = $8,078.
Last reported payment date: 2024-02-20 • Largest payer in this snapshot: Ethicon Inc. ($7,820).
Total Amount
$8,078
General + Research + Ownership
Payments
16
Total payment records
General Amount
$8,078
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon Inc. | $7,820 |
| Sumitomo Pharma America, Inc. | $71 |
| ABBVIE INC. | $64 |
| Exeltis, USA Inc. | $25 |
| MAYNE PHARMA COMMERCIAL LLC | $24 |
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: 2005-10-31
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 |
|---|---|---|---|---|
| I20051031000321 | I | Obstetrics/Gynecology | FL | 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 | 11 | 11 | $0 |
Insurance plans in this area (ZIP 34747)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| N E U R O L O G Y | FL | |
| General Surgery | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | FL | |
| Nurse Practitioner | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| General Surgery | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Physician Assistant | FL |
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