DR. GRACE KYUNG KIM (D.O.) – MOHS-Micrographic Surgery Physician, NPI 1972750370
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
91 DERMATOLOGY in NV
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Provider Addresses for DR. GRACE KYUNG KIM (D.O.)
2615, Box Canyon Drive, Las Vegas, Clark County, Nevada, 89128, United States
LAS VEGAS, NV 891280450
Phone: (702) 998-9001
Fax: (702) 998-4999
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 203 Open Payments records for all available years, with a total value of $4,004.
Total Amount is formed as General ($4,004) + Research ($0) + Ownership ($0) = $4,004.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($842).
Total Amount
$4,004
General + Research + Ownership
Payments
203
Total payment records
General Amount
$4,004
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 |
|---|---|
| ABBVIE INC. | $842 |
| Dermavant Sciences, Inc. | $670 |
| Arcutis Biotherapeutics, Inc. | $456 |
| Amgen Inc. | $259 |
| LEO Pharma Inc. | $249 |
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: 2013-11-26
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 |
|---|---|---|---|---|
| I20131126001241 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 683 | 106 | $0 |
| Q4229 | Cogenex amniotic membrane, per square centimeter | 604 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 502 | 314 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 235 | 186 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 233 | 132 | $0 |
Insurance plans in this area (ZIP 89128)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | NV | 11101 | Biopsy of each additional growth of skin and/or tissue | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NV | |
| Physician Assistant | FL | |
| - | NV | |
| Physician Assistant | NV |
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