MRS. SOON KIM (M.D.) – Surgery Physician, NPI 1649381153
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
308 GENERAL SURGERY in NV
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Provider Addresses for MRS. SOON KIM (M.D.)
1516, Virginia Ranch Road, Gardnerville, Douglas County, Nevada, 89410, United States
GARDNERVILLE, NV 894105794
Phone: (775) 783-3020
Fax: (775) 783-3021
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)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2023-01-18 • Largest payer in this snapshot: Medtronic, Inc. ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $13 |
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: 2004-06-21
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 |
|---|---|---|---|---|
| I20040621001553 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 73 | 66 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 69 | 68 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 69 | 68 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 69 | 69 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 59 | 59 | $0 |
Insurance plans in this area (ZIP 89410)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NV | |
| Nurse Practitioner | UT | |
| Internal Medicine, Osteopathic Manipulative Medicine | HI | |
| Family Practice | WA | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| - | NV | |
| Internal Medicine | ID |
Reviews
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