MR. BEOMJUNE B KIM (DMD, MD, FACS) – Oral and Maxillofacial Surgery (Dentist), NPI 1598931735
Oral and Maxillofacial Surgery (Dentist)
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Profile Insights
NPPES metrics only — not quality of care.
5 MAXILLOFACIAL SURGERY in OK
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Provider Addresses for MR. BEOMJUNE B KIM (DMD, MD, FACS)
600 CELEBRATE LIFE PKWY
NEWNAN, GA 302658001
Phone: (770) 400-6000
Type: Mailing
Southwestern Regional Medical Center, 10109, East 79th Street, The Reserve Villages of Highland Park, Tulsa, Tulsa County, Oklahoma, 74133, United States
TULSA, OK 74133
Phone: (918) 286-5000
Fax: (918) 249-7514
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $266.
Total Amount is formed as General ($266) + Research ($0) + Ownership ($0) = $266.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($195).
Total Amount
$266
General + Research + Ownership
Payments
11
Total payment records
General Amount
$266
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 |
|---|---|
| DePuy Synthes Sales Inc. | $195 |
| AERIN MEDICAL INC. | $45 |
| EAGLE PHARMACEUTICALS, INC. | $13 |
| Zimmer Biomet Holdings, Inc. | $13 |
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: 2021-07-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20140108001938 | I | Maxillofacial Surgery | LA | TBD |
| I20210709002223 | I | Maxillofacial Surgery | GA | 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 |
|---|---|---|---|---|
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 109 | 75 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 73 | 57 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 41 | 41 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 30 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 22 | 21 | $0 |
Insurance plans in this area (ZIP 30265)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Emergency Medicine | GA | |
| - | GA | |
| Plastic And Reconstructive Surgery | GA | |
| Nurse Practitioner | GA | |
| P S Y C H I A T R Y | GA | |
| - | NC |
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