DR. SAMUEL KIM (M.D.) – Rheumatology Physician, NPI 1629386388
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
186 RHEUMATOLOGY in GA
Provider Addresses for DR. SAMUEL KIM (M.D.)
11731 Pointe Pl
Roswell, GA 300764636
Phone: (770) 284-3150
Fax: (770) 284-3170
Type: Location
PO BOX 45443
SALT LAKE CITY, UT 841450443
Phone: (904) 202-1032
Fax: (904) 376-4107
Type: Mailing
1660 PRUDENTIAL DR
SUITE 310
JACKSONVILLE, FL 322078197
Phone: (904) 396-8656
Fax: (904) 396-5931
Type: Location
601 OLD NORCROSS RD STE A
LAWRENCEVILLE, GA 300464311
Phone: (770) 284-3150
Type: Location
11731 POINTE PL
ROSWELL, GA 300764636
Phone: (770) 284-3150
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 256 Open Payments records for all available years, with a total value of $5,320.
Total Amount is formed as General ($5,320) + Research ($0) + Ownership ($0) = $5,320.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,574).
Total Amount
$5,320
General + Research + Ownership
Payments
256
Total payment records
General Amount
$5,320
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,574 |
| Janssen Biotech, Inc. | $972 |
| Amgen Inc. | $623 |
| Novartis Pharmaceuticals Corporation | $532 |
| UCB, Inc. | $262 |
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: 2023-08-22
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 |
|---|---|---|---|---|
| I20230822000746 | I | Rheumatology | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 1,500 | 25 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 457 | 304 | $0 |
| 86235 | Measurement of antibody for assessment of autoimmune disorder, any method | 98 | 14 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 75 | 75 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 56 | 45 | $0 |
Insurance plans in this area (ZIP 30076)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RHEUMATOLOGY | FL | 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 36 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Rheumatology, Internal Medicine | GA | |
| Endocrinology, Internal Medicine | FL | |
| E N D O C R I N O L O G Y | GA | |
| R H E U M A T O L O G Y | OH | |
| R H E U M A T O L O G Y | GA | |
| R H E U M A T O L O G Y | GA | |
| E N D O C R I N O L O G Y | GA | |
| R H E U M A T O L O G Y | FL | |
| R H E U M A T O L O G Y | GA | |
| R H E U M A T O L O G Y | GA |
Reviews
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