PAMELA SUE KIM – Surgery Physician, NPI 1669799698
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,619 GENERAL SURGERY in NY
Provider Addresses for PAMELA SUE KIM
PO BOX 1554
STONY BROOK MEDICINE
STONY BROOK, NY 117900988
Phone: (631) 444-2040
Fax: (631) 444-6031
Type: Mailing
STONY BROOK MEDICINE
101 NICOLLS ROAD, HSC T19-090
STONY BROOK, NY 117940001
Phone: (631) 444-2040
Fax: (631) 444-6031
Type: Location
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: 2019-11-06
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 |
|---|---|---|---|---|
| I20191106001338 | I | General Surgery | MA | 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 |
|---|---|---|---|---|
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 242 | 67 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 160 | 130 | $0 |
| 36471 | Injection of chemical agent into multiple incompetent veins of leg | 76 | 34 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 65 | 51 | $0 |
| 36470 | Injection of chemical agent into single incompetent vein | 57 | 29 | $0 |
Insurance plans in this area (ZIP 11790)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology, Vascular Surgery, Diagnostic Radiology | CT | |
| Physician Assistant | MA | |
| General Surgery | MO | |
| Nurse Practitioner | MA |
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