DR. KYONG SU MIN (MD) – Orthopaedic Surgery Physician, NPI 1972737153
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
44 SPORTS MEDICINE in HI
Provider Addresses for DR. KYONG SU MIN (MD)
1 JARRETT WHITE RD # WING4F
TRIPLER ARMY MEDICAL CENTER, HI 968595001
Phone: (808) 433-5986
Type: Mailing
1 JARRETT WHITE RD BLDG 4F
TRIPLER ARMY MEDICAL CENTER, HI 96859
Phone: (808) 433-5986
Type: Location
3382 WAIALAE AVE
HONOLULU, HI 968162637
Phone: (808) 548-7033
Fax: (808) 548-7034
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $728.
Total Amount is formed as General ($728) + Research ($0) + Ownership ($0) = $728.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: EXACTECH, INC. ($298).
Total Amount
$728
General + Research + Ownership
Payments
7
Total payment records
General Amount
$728
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| EXACTECH, INC. | $298 |
| Zimmer Biomet Holdings, Inc. | $250 |
| Orthofix Medical, Inc. | $122 |
| Stryker Corporation | $33 |
| Invictus Surgical Incorporated | $24 |
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: 2019-07-05
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 |
|---|---|---|---|---|
| I20190705000959 | I | Sports Medicine | HI | 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 | 48 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 13 | $0 |
Insurance plans in this area (ZIP 96859)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | HI | |
| Orthopedic Surgery | NJ | |
| Orthopedic Surgery, Sports Medicine | HI | |
| Orthopedic Surgery | WA | |
| Orthopedic Surgery | HI | |
| Sports Medicine | CA | |
| Orthopedic Surgery | HI | |
| Hand Surgery, Orthopedic Surgery | CA | |
| Orthopedic Surgery | HI | |
| Sports Medicine, Orthopedic Surgery | HI |
Reviews
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