STACY JUNE KIM (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1265633077
Anatomic Pathology & Clinical Pathology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
82 PATHOLOGY in NV
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Provider Addresses for STACY JUNE KIM (M.D.)
Burnham Avenue, Five Points, Las Vegas, Clark County, Nevada, 89169-1814, United States
ASSOCIATED PATHOLOGISTS, CHARTERED
LAS VEGAS, NV 891195408
Phone: (702) 733-7866
Fax: (702) 792-1319
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.
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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: 2008-11-21
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 |
|---|---|---|---|---|
| I20081121000020 | I | Pathology | NV | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 717 | 422 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 265 | 253 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 169 | 50 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 66 | 61 | $0 |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 57 | 49 | $0 |
Insurance plans in this area (ZIP 89119)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | TX | |
| P A T H O L O G Y | NV | |
| P A T H O L O G Y | NV | |
| - | NV | |
| P A T H O L O G Y | CT | |
| P A T H O L O G Y | NV | |
| - | NV | |
| P A T H O L O G Y | NV | |
| P A T H O L O G Y | NV | |
| - | NV |
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