THOMAS KIM – Orthopaedic Hand Surgery Physician, NPI 1003105032
Orthopaedic Hand Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
27 HAND SURGERY in RI
Provider Addresses for THOMAS KIM
2 Dudley St
Suite 200
Providence, RI 029053236
Phone: (401) 457-2168
Fax: (401) 831-8455
Type: Location
18 Bon Air Rd
Larkspur, CA 949391123
Phone: (415) 927-5300
Fax: (415) 927-6860
Type: Location
PO BOX 1119
PROVIDENCE, RI 029011119
Phone: (401) 457-2168
Fax: (401) 831-8455
Type: Mailing
18 BON AIR RD
LARKSPUR, CA 949391123
Phone: (415) 927-5300
Fax: (415) 927-6860
Type: Location
3200 KEARNEY ST
FREMONT, CA 945382299
Phone: (510) 490-1222
Type: Location
325 DISTEL CIR
LOS ALTOS, CA 940221408
Phone: (510) 490-1222
Fax: (401) 831-8455
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $226.
Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.
Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Evolution Surgical, Inc ($131).
Total Amount
$226
General + Research + Ownership
Payments
4
Total payment records
General Amount
$226
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Evolution Surgical, Inc | $131 |
| Stryker Corporation | $95 |
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: 2017-10-10
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 |
|---|---|---|---|---|
| I20171010001578 | I | Hand Surgery | CA | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,266 | 183 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 309 | 239 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 202 | 202 | $0 |
| 20550 | Injection into tendon or ligament | 128 | 101 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 95 | 78 | $0 |
Insurance plans in this area (ZIP 02905)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | CA | |
| - | CA | |
| Obstetrics/Gynecology, Hospitalist | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| A N E S T H E S I O L O G Y | CA | |
| G A S T R O E N T E R O L O G Y | CA |
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