JAE H. KIM (M.D.) – Neurology Physician, NPI 1841426400
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
63 NEUROLOGY in SD
Provider Addresses for JAE H. KIM (M.D.)
2820 SE 3RD CT
OCALA, FL 344710457
Phone: (352) 401-8817
Type: Mailing
115 2ND AVE S APT 1415
MINNEAPOLIS, MN 554012021
Phone: (201) 952-0584
Type: Mailing
1210 W 18th St Ste 100
Sioux Falls, SD 571044650
Phone: (605) 312-8500
Fax: (605) 312-8501
Type: Location
909 Fulton St SE
Minneapolis, MN 55455
Phone: (612) 672-7422
Type: Location
500 Harvard St SE
Minneapolis, MN 554550363
Phone: (612) 626-3343
Fax: (612) 626-3366
Type: Location
115 2nd Ave S Apt 1415
Minneapolis, MN 554012021
Phone: (201) 952-0584
Type: Location
2820 SE 3RD CT STE 200
OCALA, FL 344710442
Phone: (352) 401-8817
Type: Location
University of Minnesota Health Clinics and Surgery Center, 909, Fulton Street Southeast, Prospect Park - East River Road, Minneapolis, Hennepin County, Minnesota, 55455, United States
MINNEAPOLIS, MN 55455
Phone: (612) 672-7422
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $4,654.
Total Amount is formed as General ($4,654) + Research ($0) + Ownership ($0) = $4,654.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($1,336).
Total Amount
$4,654
General + Research + Ownership
Payments
64
Total payment records
General Amount
$4,654
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $1,336 |
| Balt USA, LLC | $1,186 |
| MicroVention, Inc. | $939 |
| QAPEL MEDICAL INC | $300 |
| Medtronic, Inc. | $280 |
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: 2025-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (982 days ago).
Enrollment records
3
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| I20140918001530 | I | Neurology | MN | 2023-09-30 |
| I20161216000364 | I | Neurology | SD | TBD |
| I20251205000232 | I | Neurology | FL | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 98 | 39 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 94 | 82 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 92 | 75 | $0 |
| 36226 | Insertion of tube into brain artery for diagnosis or treatment with review by radiologist | 62 | 60 | $0 |
| 36223 | Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist | 53 | 51 | $0 |
Insurance plans in this area (ZIP 34471)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MT | |
| - | ND | |
| Physician Assistant | MN | |
| Nurse Practitioner | SD | |
| - | MN | |
| Qualified Audiologist | MN | |
| - | MN | |
| - | MN | |
| P A T H O L O G Y | WV | |
| Family Practice | MN |
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