DR. JAE H. KIM (M.D.) – Gastroenterology Physician, NPI 1861578759
Gastroenterology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
431 GASTROENTEROLOGY in AZ
Provider Addresses for DR. JAE H. KIM (M.D.)
2222, 53rd Avenue, Bettendorf, Pleasant Valley Township, Davenport, Scott County, Iowa, 52722, United States
GASTROENTEROLOGY ASSOCIATES, P.C.
BETTENDORF, IA 52722
Phone: (563) 383-2686
Type: Mailing
1500 S Mill Ave
Tempe, AZ 852816699
Phone: (480) 784-5500
Type: Location
3920 S Rome St
Gilbert, AZ 852977366
Phone: (480) 597-4778
Fax: (480) 597-4782
Type: Location
1125 S Alma School Rd Ste 100
Chandler, AZ 852862810
Phone: (480) 550-6089
Type: Location
10238 E HAMPTON AVE STE 301C
MESA, AZ 852093322
Phone:
Type: Mailing
1301 S Crismon Rd
Mesa, AZ 852093767
Phone: (480) 358-6100
Type: Location
37200 N Gantzel Rd Ste 100
Queen Creek, AZ 851407368
Phone: (480) 307-6741
Type: Location
Hospital Parkway, Johns Creek, Fulton County, Georgia, 30098, United States
JOHNS CREEK, GA 300971984
Phone: (770) 227-2222
Fax: (770) 227-2220
Type: Location
10238 E HAMPTON AVE STE 205
MESA, AZ 852093318
Phone: (480) 856-8252
Fax: (470) 268-9921
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 86 Open Payments records for all available years, with a total value of $1,747.
Total Amount is formed as General ($1,747) + Research ($0) + Ownership ($0) = $1,747.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($390).
Total Amount
$1,747
General + Research + Ownership
Payments
86
Total payment records
General Amount
$1,747
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
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: 2024-06-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20200520001652 | I | Gastroenterology | GA | TBD |
| I20230720003010 | I | Gastroenterology | NC | TBD |
| I20240617001443 | I | Gastroenterology | AZ | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 102 | 81 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 53 | 53 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 48 | 48 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 45 | 45 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 45 | 45 | $0 |
Insurance plans in this area (ZIP 52722)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.