SCOTT SANG WON KIM (M.D.) – Interventional Pain Medicine Physician, NPI 1164650461
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
183 PAIN MANAGEMENT in IN
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Provider Addresses for SCOTT SANG WON KIM (M.D.)
8805, North Meridian Street, College Crest, Spring Hollow, Indianapolis, Marion County, Indiana, 46260, United States
INDIANAPOLIS, IN 462602760
Phone: (317) 706-7246
Fax: (317) 706-3417
Type: Mailing
East County Line Road, Greenwood, Johnson County, Indiana, 46142:46227, United States
SUITE 201
GREENWOOD, IN 461431073
Phone: (317) 706-7246
Fax: (317) 706-3419
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 228 Open Payments records for all available years, with a total value of $4,802.
Total Amount is formed as General ($4,802) + Research ($0) + Ownership ($0) = $4,802.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ANI Pharmaceuticals, Inc. ($1,140).
Total Amount
$4,802
General + Research + Ownership
Payments
228
Total payment records
General Amount
$4,802
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2016-12-06
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 |
|---|---|---|---|---|
| I20161206001483 | I | Pain Management | IN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,072 | 261 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 90 | 90 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 71 | 36 | $0 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | 71 | 36 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 49 | 42 | $0 |
Insurance plans in this area (ZIP 46260)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PAIN MANAGEMENT | IN | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 94 | 63 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Anesthesiology, Pain Management, Anesthesiology | FL | |
| Nurse Practitioner | IN | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Pain Management, Anesthesiology, Neurology | IN | |
| Nurse Practitioner | IN | |
| Physical Therapist In Private Practice | IN | |
| - | IN | |
| - | IN |
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