WENDY KIM (DO) – Dermatology Physician, NPI 1790930477
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
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Provider Addresses for WENDY KIM (DO)
Prairie Pointe, 1600, South Prairie Avenue, South Loop, Near South Side, South Loop, Chicago, Cook County, Illinois, 60605, United States
2108
CHICAGO, IL 606161360
Phone:
Type: Mailing
2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States
MAYWOOD, IL 601533328
Phone: (708) 216-9000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $114.
Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.
Last reported payment date: 2023-03-16 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($114).
Total Amount
$114
General + Research + Ownership
Payments
1
Total payment records
General Amount
$114
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $114 |
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: 2013-07-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1044 days ago).
Enrollment records
1
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| I20130722000167 | I | Dermatology | IL | 2023-07-31 |
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 377 | 304 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 339 | 77 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 188 | 159 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 176 | 140 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 141 | 118 | $0 |
Insurance plans in this area (ZIP 60616)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| N E U R O L O G Y | IL | |
| Family Practice | IL | |
| Internal Medicine, Pediatric Medicine | IL | |
| Hospitalist, Family Practice | TX | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL |
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