DR. GARY SANG KIM (M.D.) – Internal Medicine Physician, NPI 1306820667
Internal Medicine Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,474 INTERNAL MEDICINE in OR
Provider Addresses for DR. GARY SANG KIM (M.D.)
The Portland Clinic, 15950, Southwest Millikan Way, Beaverton, Metro, Washington County, Oregon, 97003, United States
BEAVERTON, OR 970065170
Phone: (503) 646-0161
Fax: (503) 643-7459
Type: Mailing
5005 NE Sandy Blvd
Portland, OR 972131941
Phone: (503) 233-6940
Type: Location
800 SW 13TH AVE
PORTLAND, OR 972051902
Phone: (503) 221-0161
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $253.
Total Amount is formed as General ($253) + Research ($0) + Ownership ($0) = $253.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: BETA BIONICS, INC. ($140).
Total Amount
$253
General + Research + Ownership
Payments
2
Total payment records
General Amount
$253
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BETA BIONICS, INC. | $140 |
| Insulet Corporation | $113 |
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: 2012-06-21
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 |
|---|---|---|---|---|
| I20120621000009 | I | Internal Medicine | 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 | 108 | 78 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 85 | 63 | $0 |
| 85610 | Blood test, clotting time | 83 | 11 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 72 | 16 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 66 | 57 | $0 |
Insurance plans in this area (ZIP 97006)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| - | OR | |
| Sports Medicine | OR | |
| - | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Nurse Practitioner | OR | |
| O P T O M E T R Y | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR |
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