ALLIS KIM (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1053400879
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
947 ORTHOPEDIC SURGERY in MA
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Provider Addresses for ALLIS KIM (M.D.)
65, Fremont Street, Marlborough, Middlesex County, Massachusetts, 01752, United States
MARLBOROUGH, MA 017521271
Phone: (508) 485-3665
Fax: (508) 485-0899
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2007-11-06
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 |
|---|---|---|---|---|
| I20071106000399 | I | Orthopedic Surgery | MA | 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 |
|---|---|---|---|---|
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | 898 | 11 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 146 | 94 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 122 | 93 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 121 | 98 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 111 | 68 | $0 |
Insurance plans in this area (ZIP 01752)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MA | |
| Physical Therapist In Private Practice | MA | |
| Nurse Practitioner | MA | |
| Orthopedic Surgery | MA | |
| Physical Therapist In Private Practice | MA | |
| Physical Therapist In Private Practice | MA | |
| Orthopedic Surgery | OH | |
| Orthopedic Surgery | MA | |
| Diagnostic Radiology | MA | |
| Physical Medicine And Rehabilitation | MA |
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