DR. CHANG NAM KIM (M.D.) – Psychiatry Physician, NPI 1063516458
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,050 PSYCHIATRY in NJ
Provider Addresses for DR. CHANG NAM KIM (M.D.)
1200 US HIGHWAY 46
CLIFTON, NJ 070132440
Phone: (973) 773-9228
Fax: (973) 773-3029
Type: Mailing
22 WOODSTONE DR
CEDAR GROVE, NJ 070091940
Phone: (973) 773-9228
Fax: (973) 773-3029
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $61.
Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.
Last reported payment date: 2023-11-27 • Largest payer in this snapshot: ABBVIE INC. ($61).
Total Amount
$61
General + Research + Ownership
Payments
4
Total payment records
General Amount
$61
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $61 |
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: 2011-03-17
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 |
|---|---|---|---|---|
| I20110317000321 | I | Psychiatry | NJ | 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 |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 339 | 75 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 339 | 75 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 118 | 48 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 12 | 12 | $0 |
Insurance plans in this area (ZIP 07013)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | NJ | 90792 | Psychiatric diagnostic evaluation with medical services | 31 | 31 |
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