DR. JOHNSTONE MINSOK KIM (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1982880605

DR. JOHNSTONE MINSOK KIM (MD) is a healthcare provider. based in Detroit, Michigan. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 64579 (GA). The NPI Number for DR. JOHNSTONE MINSOK KIM (MD) is 1982880605

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHNSTONE MINSOK KIM (MD)
NPI
1982880605
Phone
(313) 577-8900
Address
4717 ST. ANTOINE
Enumeration Date
11 January 2008
Last Update Date
30 April 2021

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6143398500
Graduation Year
2007 (19 years ago)
PAC ID
5597935775
Group Practice PAC ID
0244207074
Professional Enrollment ID
I20160930002196
Address ID
OH430168214DU6655XRDXX300

Contacts

Secure Messaging
johnstone.kim.p1@direct.midwestretina.nextgenshare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness85
Years active:18State licenses:4Other namesUpdated within 12 months

844 OPHTHALMOLOGY in MI

Provider Addresses for DR. JOHNSTONE MINSOK KIM (MD)

  • 4717 ST. ANTOINE

    KRESGE EYE INSTITUTE

    DETROIT, MI 482011423

    Phone: (313) 577-8900

    Fax: (313) 577-0700

    Type: Location

  • 1560, East Maple Road, Troy, Oakland County, Michigan, 48083, United States

    SUITE 400-CREDENTIALING

    TROY, MI 480831189

    Phone: (248) 581-5731

    Fax: (248) 581-5640

    Type: Mailing

  • 6655 POST RD

    DUBLIN, OH 430168265

    Phone: (614) 339-8500

    Fax: (614) 339-8501

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $301.

Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Genentech, Inc. ($126).

Total Amount

$301

General + Research + Ownership

Payments

11

Total payment records

General Amount

$301

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-11-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-09-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110825000348IOphthalmologyMITBD
I20160930002196IOphthalmologyOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2777Injection, faricimab-svoa, 0.1 mg13,80048$0
92134Imaging of retina2,284728$0
J0178Injection, aflibercept, 1 mg1,748184$0
67028Injection of drug into eye1,705369$0
J3590Unclassified biologics695184$0
View full utilization report →

Insurance plans in this area (ZIP 48201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244207074View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YIN
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YKS

Reviews

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Frequently asked questions

Is there an official ID for DR. JOHNSTONE MINSOK KIM (MD) in U.S. healthcare records?
The official identifier for DR. JOHNSTONE MINSOK KIM (MD) is NPI 1982880605.
Is DR. JOHNSTONE MINSOK KIM (MD) still an active registrant?
DR. JOHNSTONE MINSOK KIM (MD) carries an active NPI according to the public dataset.
How would a patient describe DR. JOHNSTONE MINSOK KIM (MD)'s focus?
For DR. JOHNSTONE MINSOK KIM (MD), the primary taxonomy reads as Retina Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
Is DR. JOHNSTONE MINSOK KIM (MD) associated with Detroit?
Public fields place DR. JOHNSTONE MINSOK KIM (MD) around Detroit, Michigan. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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