DR. OSRIC SHAUN KING (MD) – Specialist, NPI 1164549382

DR. OSRIC SHAUN KING (MD) is a healthcare provider. based in Fresh meadows, New York. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 206390 (NY). The NPI Number for DR. OSRIC SHAUN KING (MD) is 1164549382

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. OSRIC SHAUN KING (MD)
NPI
1164549382
Phone
(718) 591-5693
Address
17660 UNION TPKE
Enumeration Date
23 March 2007
Last Update Date
29 April 2021

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7185915693
Graduation Year
1995 (31 years ago)
PAC ID
4183698616
Group Practice PAC ID
4789818204
Professional Enrollment ID
I20051109000852
Address ID
NY113661538FR17660TPKE302
Telehealth
Yes

Contacts

Secure Messaging
oking9370@direct.HSS.edu
FHIR Endpoint
https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
FHIR Endpoint
https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

454 SPORTS MEDICINE in NY

Provider Addresses for DR. OSRIC SHAUN KING (MD)

  • 17660 UNION TPKE

    SUITE #190

    FRESH MEADOWS, NY 113661531

    Phone: (718) 591-5693

    Fax: (718) 591-8919

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $2,720.

Total Amount is formed as General ($2,720) + Research ($0) + Ownership ($0) = $2,720.

Last reported payment date: 2024-04-15 • Largest payer in this snapshot: IBSA Pharma Inc. ($2,720).

Total Amount

$2,720

General + Research + Ownership

Payments

6

Total payment records

General Amount

$2,720

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
IBSA Pharma Inc.$2,720
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: 2005-11-09

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051109000852ISports MedicineNYTBD

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
J7322Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg10,106103$0
99214Established patient office or other outpatient visit, 30-39 minutes496287$0
99213Established patient office or other outpatient visit, 20-29 minutes351169$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance292130$0
99442Telephone medical discussion with physician, 11-20 minutes268168$0
View full utilization report →

Insurance plans in this area (ZIP 11366)

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Provider's Procedures

DR. OSRIC SHAUN KING (MD) performs procedures in SPORTS MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
SPORTS MEDICINENY20610Aspiration and/or injection of large joint or joint capsule460132

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: 4789818204View full group profile
NameSpecialtyState
Rheumatology, Internal MedicineNY
-NY
-NY
Rheumatology, Internal MedicineNY
Internal MedicineNY
-NY
Internal Medicine, RheumatologyNY
-NY
Internal MedicineNY
Rheumatology, Internal MedicineNY

Reviews

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Frequently asked questions

What is the standard ID for DR. OSRIC SHAUN KING (MD) in the U.S.?
In the U.S., DR. OSRIC SHAUN KING (MD) is identified by NPI 1164549382.
Does the public listing show DR. OSRIC SHAUN KING (MD) as active?
DR. OSRIC SHAUN KING (MD)'s NPI record reflects an active status in NPPES.
What type of care does DR. OSRIC SHAUN KING (MD) provide?
DR. OSRIC SHAUN KING (MD)'s profile centers on Other Service Providers. Clinical services aligned with this taxonomy classification.
What city is tied to DR. OSRIC SHAUN KING (MD)?
The directory associates DR. OSRIC SHAUN KING (MD) with Fresh Meadows, New York. Check all listed addresses for suites or satellite offices.
Who maintains DR. OSRIC SHAUN KING (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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