JENNIFER KIM (D.O.) – Family Medicine Physician, NPI 1255734778
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
Provider Addresses for JENNIFER KIM (D.O.)
2259 GREEN MEADOWS CIR
MCALESTER, OK 745013245
Phone:
Type: Mailing
4 E CLARK BASS BLVD STE 300
MCALESTER, OK 745014269
Phone: (918) 421-6795
Fax: (918) 421-6791
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $544.
Total Amount is formed as General ($544) + Research ($0) + Ownership ($0) = $544.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($97).
Total Amount
$544
General + Research + Ownership
Payments
31
Total payment records
General Amount
$544
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $97 |
| Novo Nordisk Inc | $93 |
| ABBVIE INC. | $82 |
| PFIZER INC. | $46 |
| Axsome Therapeutics, Inc. | $38 |
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: 2016-04-27
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 |
|---|---|---|---|---|
| I20160427000061 | I | Family Practice | OK | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 401 | 243 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 355 | 225 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 175 | 175 | $0 |
| G0008 | Administration of influenza virus vaccine | 167 | 166 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 154 | 154 | $0 |
Insurance plans in this area (ZIP 74501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | OK | |
| U R O L O G Y | OK | |
| - | OK | |
| - | OK | |
| Family Practice | OK | |
| U R O L O G Y | OK | |
| Orthopedic Surgery | OK | |
| P O D I A T R Y | OK | |
| Nurse Practitioner | OK | |
| - | TX |
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