EDWARD M KIM (MD) – Family Medicine Physician, NPI 1487180667
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,083 FAMILY PRACTICE in OR
Provider Addresses for EDWARD M KIM (MD)
4104 SE 82nd Ave
STE 250
Portland, OR 972662954
Phone: (503) 215-9850
Type: Location
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083158
Phone:
Type: Mailing
110, Center Avenue, Molalla, Clackamas County, Oregon, 97038, United States
MOLALLA, OR 970388134
Phone: (503) 829-1400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2023-01-17 • Largest payer in this snapshot: HARMONY BIOSCIENCES LLC ($40).
Total Amount
$40
General + Research + Ownership
Payments
1
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| HARMONY BIOSCIENCES LLC | $40 |
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: 2020-09-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200909002616 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 215 | 212 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 41 | 41 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 34 | 34 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 32 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 28 | $0 |
Insurance plans in this area (ZIP 97266)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| Physician Assistant | IL | |
| Nurse Practitioner | OR | |
| Family Practice | OR | |
| - | OR | |
| Physician Assistant | OR | |
| Internal Medicine | OR | |
| Physician Assistant | OR |
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