EDWARD KIM (MD) – Cardiovascular Disease Physician, NPI 1386752913
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
40 INTERVENTIONAL CARDIOLOGY in ID
Provider Addresses for EDWARD KIM (MD)
415 6TH ST
LEWISTON, ID 835012431
Phone: (208) 750-7507
Fax: (208) 750-7384
Type: Mailing
Virginia Mason Hospital & Seattle Medical Center, 1100, 9th Avenue, Central Business District, First Hill, Seattle, King County, Washington, 98101, United States
PO BOX 24163
SEATTLE, WA 981012756
Phone: (206) 223-6600
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $287.
Total Amount is formed as General ($287) + Research ($0) + Ownership ($0) = $287.
Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Medtronic, Inc. ($124).
Total Amount
$287
General + Research + Ownership
Payments
5
Total payment records
General Amount
$287
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $124 |
| Ethicon Inc. | $101 |
| Penumbra, Inc. | $40 |
| Eisai Inc. | $22 |
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: 2020-12-16
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 |
|---|---|---|---|---|
| I20090212000708 | I | Interventional Cardiology | WA | TBD |
| I20201216003017 | I | Cardiovascular Disease (Cardiology) | ID | 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 |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 848 | 799 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 542 | 421 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 463 | 422 | $0 |
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 450 | 438 | $0 |
| 93016 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 450 | 438 | $0 |
Insurance plans in this area (ZIP 83501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | WA | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 76 | 76 |
| INTERVENTIONAL CARDIOLOGY | WA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 585 | 505 |
| INTERVENTIONAL CARDIOLOGY | WA | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 102 | 97 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | UT | |
| - | ID | |
| Interventional Radiology | WA | |
| Nurse Practitioner | WA | |
| Family Practice | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| H E M A T O L O G Y/ O N C O L O G Y | ID | |
| General Surgery | CO | |
| Orthopedic Surgery | ID |
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