CAROLYN KIM (MD) – Dermatology Physician, NPI 1063594299
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
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Provider Addresses for CAROLYN KIM (MD)
West Park Drive, Irving, Dallas County, Texas, 75061, United States
IRVING, TX 750612034
Phone: (972) 827-1130
Fax: (972) 597-4290
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $59.
Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($59).
Total Amount
$59
General + Research + Ownership
Payments
8
Total payment records
General Amount
$59
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MAYNE PHARMA COMMERCIAL LLC | $59 |
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: 2014-03-07
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 |
|---|---|---|---|---|
| I20140307001337 | I | Dermatology | TX | 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 | 567 | 86 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 236 | 171 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 150 | 119 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 138 | 105 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 128 | 107 | $0 |
Insurance plans in this area (ZIP 75061)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | TX | 11101 | Biopsy of each additional growth of skin and/or tissue | 115 | 82 |
| DERMATOLOGY | TX | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 18 | 17 |
| DERMATOLOGY | TX | 17003 | Destruction of 2-14 skin growths | 1368 | 211 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| - | TX |
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