MICHAEL KWANGSOO KIM (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1366400590
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
474 PLASTIC AND RECONSTRUCTIVE SURGERY in FL
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Provider Addresses for MICHAEL KWANGSOO KIM (M.D.)
3700, Central Avenue, Fort Myers, Lee County, Florida, 33901, United States
STE 1
FORT MYERS, FL 339017649
Phone: (239) 939-5233
Fax: (239) 939-9225
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 4 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Mentor Worldwide LLC ($76).
Total Amount
$125
General + Research + Ownership
Payments
4
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mentor Worldwide LLC | $76 |
| ABBVIE INC. | $35 |
| PFIZER INC. | $15 |
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: 2012-07-03
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 |
|---|---|---|---|---|
| I20120703000271 | I | Plastic And Reconstructive Surgery | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,396 | 181 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 398 | 398 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 340 | 224 | $0 |
| 20600 | Aspiration and/or injection of fluid from small joint | 130 | 52 | $0 |
| 14040 | Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less | 109 | 102 | $0 |
Insurance plans in this area (ZIP 33901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | FL | |
| Plastic And Reconstructive Surgery | FL |
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