DR. ANNETTE S KIM (MD) – Clinical Pathology Physician, NPI 1780738120
Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
799 PATHOLOGY in MA
Provider Addresses for DR. ANNETTE S KIM (MD)
75 Francis St
Boston, MA 021156110
Phone: (617) 732-5500
Type: Location
3621 S STATE ST
ANN ARBOR, MI 481081633
Phone: (734) 647-5299
Type: Mailing
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 481095000
Phone: (734) 936-4000
Type: Location
Vanderbilt University Medical Center, 1211, Medical Center Drive, Nashville, Davidson County, Tennessee, 37232, United States
C-3321 MCN
NASHVILLE, TN 372320001
Phone: (615) 343-2429
Fax: (615) 343-0723
Type: Mailing
Brigham and Women's Hospital, 75, Francis Street, Roxbury, Boston, Suffolk County, Massachusetts, 02115, United States
BOSTON, MA 021156110
Phone: (617) 732-5500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $3,100.
Total Amount is formed as General ($3,100) + Research ($0) + Ownership ($0) = $3,100.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Asuragen, Inc. ($3,000).
Total Amount
$3,100
General + Research + Ownership
Payments
2
Total payment records
General Amount
$3,100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Asuragen, Inc. | $3,000 |
| JAZZ PHARMACEUTICALS INC. | $100 |
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: 2023-08-31
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 |
|---|---|---|---|---|
| I20230831001085 | I | Pathology | MI | 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 |
|---|---|---|---|---|
| G0452 | Molecular pathology procedure; physician interpretation and report | 219 | 191 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 149 | 24 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 63 | 43 | $0 |
| 85097 | Bone marrow, smear interpretation | 41 | 40 | $0 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 32 | 23 | $0 |
Insurance plans in this area (ZIP 02115)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | MA | 88342 | Tissue or cell analysis by immunologic technique | 52 | 52 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | FL | |
| Physical Medicine And Rehabilitation | MI | |
| A N E S T H E S I O L O G Y | MI | |
| Internal Medicine, Pediatric Medicine | IL | |
| - | MI | |
| Physician Assistant | MI |
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