MOSES KIM (M.D.) – General Practice Physician, NPI 1245496496
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
539 GENERAL SURGERY in KY
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Provider Addresses for MOSES KIM (M.D.)
Harrodsburg Road, Twin Oaks, Garden Springs, Lexington, Fayette County, Kentucky, 40390:40513, United States
LEXINGTON, KY 40504
Phone: (859) 278-4960
Fax: (859) 277-2840
Type: Location
The Box, 4-6, Ram Place, Homerton, London Borough of Hackney, London, Greater London, England, E9 6LT, United Kingdom
LONDON, KY 407430936
Phone:
Fax: (606) 330-7825
Type: Mailing
555 VALLEY VIEW DR
MOLINE, IL 612656138
Phone: (309) 764-9675
Fax: (309) 764-3106
Type: Location
3540 E 46th St
Davenport, IA 528073403
Phone: (563) 359-1170
Fax: (563) 359-3828
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 $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2023-01-12 • Largest payer in this snapshot: Coala Life Inc ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Coala Life Inc | $17 |
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: 2023-08-02
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 |
|---|---|---|---|---|
| I20170919002415 | I | Family Practice | IA | TBD |
| I20230802002888 | I | General Surgery | IL | 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 |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 237 | 84 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 128 | 66 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 121 | 45 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 59 | 59 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 48 | 38 | $0 |
Insurance plans in this area (ZIP 40504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Internal Medicine | IL | |
| Family Practice, General Surgery, Preventive Medicine | IL | |
| - | IL | |
| - | MI | |
| Physician Assistant | UT | |
| Internal Medicine | ME | |
| Family Practice | IL | |
| Physician Assistant | OH |
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