DR. KING KIM (D.M.D.) – Oral and Maxillofacial Surgery (Dentist), NPI 1639358211
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
79 MAXILLOFACIAL SURGERY in FL
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Provider Addresses for DR. KING KIM (D.M.D.)
1325, Pine Street, Melbourne, Brevard County, Florida, 32901, United States
SUITE 102
MELBOURNE, FL 329013189
Phone: (321) 725-5377
Fax: (321) 951-3393
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 26 Open Payments records for all available years, with a total value of $455.
Total Amount is formed as General ($455) + Research ($0) + Ownership ($0) = $455.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ZIMVIE INC. ($262).
Total Amount
$455
General + Research + Ownership
Payments
26
Total payment records
General Amount
$455
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZIMVIE INC. | $262 |
| DePuy Synthes Sales Inc. | $111 |
| Highridge Medical LLC | $56 |
| Geistlich Pharma, North America, Inc. | $26 |
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: 2011-10-07
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 |
|---|---|---|---|---|
| I20111007000466 | I | Maxillofacial 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 32901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| MAXILLOFACIAL SURGERY | FL | 70330 | X-ray of jaw joints on both sides of the face | 34 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral Surgery | FL | |
| - | MI | |
| Oral Surgery, Maxillofacial Surgery | FL |
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