JIYOUN E KIM (MD) – Surgery Physician, NPI 1053400713
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
530 GENERAL SURGERY in OR
Provider Addresses for JIYOUN E KIM (MD)
Salem Post Office, 2;4, Margin Street, Downtown Salem District, Salem, Essex County, Massachusetts, 01970, United States
SALEM, OR 973030900
Phone: (503) 399-2470
Fax: (503) 375-7429
Type: Mailing
PO BOX 13129
SALEM, OR 973091129
Phone: (503) 561-2448
Type: Mailing
665 WINTER ST SE
SALEM, OR 973013934
Phone: (503) 561-2448
Type: Location
Salem Clinic, 2020, Capitol Street Northeast, Grant, Salem, Marion County, Oregon, 97311, United States
SALEM, OR 973010644
Phone: (503) 399-2470
Fax: (503) 375-7429
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $3,279.
Total Amount is formed as General ($3,279) + Research ($0) + Ownership ($0) = $3,279.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,279).
Total Amount
$3,279
General + Research + Ownership
Payments
21
Total payment records
General Amount
$3,279
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $3,279 |
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: 2006-11-17
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 |
|---|---|---|---|---|
| I20061117000493 | I | General Surgery | OR | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 28 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 23 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 24 | 21 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 18 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 17 | 14 | $0 |
Insurance plans in this area (ZIP 97303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OR | |
| Family Practice | AZ | |
| Family Practice | VA | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| - | OR | |
| - | OR | |
| Diagnostic Radiology | OR | |
| - | OR | |
| - | OR |
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