DR. ELI YONG KIM (M.D.) – Dermatology Physician, NPI 1861727802
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
293 DERMATOLOGY in TN
Provider Addresses for DR. ELI YONG KIM (M.D.)
5545 LITTLE DEBBIE PKWY
OOLTEWAH, TN 373634357
Phone: (407) 451-6307
Type: Mailing
1107, Memorial Drive, Dalton, Whitfield County, Georgia, 30720, United States
SUITE 201
DALTON, GA 307208668
Phone: (706) 277-7311
Fax: (706) 272-3512
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $880.
Total Amount is formed as General ($880) + Research ($0) + Ownership ($0) = $880.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Lilly USA, LLC ($197).
Total Amount
$880
General + Research + Ownership
Payments
42
Total payment records
General Amount
$880
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $197 |
| ABBVIE INC. | $116 |
| Janssen Biotech, Inc. | $95 |
| MAYNE PHARMA COMMERCIAL LLC | $56 |
| E.R. Squibb & Sons, L.L.C. | $46 |
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: 2013-10-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20130925000959 | I | Dermatology | TN | TBD |
| I20131028001408 | I | Dermatology | GA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 390 | 83 | $0 |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 381 | 72 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 171 | 19 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 135 | 117 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 123 | 113 | $0 |
Insurance plans in this area (ZIP 37363)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN |
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