SUN KIM (M.D.) – Vascular Surgery Physician, NPI 1457766958
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
242 VASCULAR SURGERY in MI
Provider Addresses for SUN KIM (M.D.)
404 ORCHARD VIEW DR
ROYAL OAK, MI 480733365
Phone: (517) 303-0102
Type: Mailing
22101 MOROSS RD
DETROIT, MI 482362148
Phone: (313) 343-7849
Type: Location
4354 RAMSGATE LN
BLOOMFIELD HILLS, MI 483021638
Phone: (517) 303-0102
Type: Mailing
3990 JOHN R ST
DETROIT, MI 482012018
Phone: (313) 745-8875
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $2,346.
Total Amount is formed as General ($2,346) + Research ($0) + Ownership ($0) = $2,346.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Endologix LLC ($813).
Total Amount
$2,346
General + Research + Ownership
Payments
28
Total payment records
General Amount
$2,346
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Endologix LLC | $813 |
| Bard Peripheral Vascular, Inc. | $523 |
| Medtronic, Inc. | $386 |
| W. L. Gore & Associates, Inc. | $249 |
| Abbott Laboratories | $141 |
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: 2022-08-12
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 |
|---|---|---|---|---|
| I20220812000302 | I | Vascular Surgery | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 41 | 19 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 23 | 22 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 22 | 21 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 17 | 15 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 13 | 13 | $0 |
Insurance plans in this area (ZIP 48073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Clinical Psychologist | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Diagnostic Radiology | MI | |
| Vascular Surgery, General Surgery | MI | |
| Orthopedic Surgery | MI |
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