SAM EUN KIM (M.D.) – Internal Medicine Physician, NPI 1093987885
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
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Provider Addresses for SAM EUN KIM (M.D.)
PO BOX 2129
ODESSA, TX 797602129
Phone: (432) 337-5411
Fax: (432) 561-5014
Type: Mailing
Highway 191, West 1788 Industrial Park, Midland, Midland County, Texas, 79765, United States
STE 200
ODESSA, TX 797658613
Phone: (432) 337-5411
Fax: (432) 561-5014
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 89 Open Payments records for all available years, with a total value of $1,572.
Total Amount is formed as General ($1,572) + Research ($0) + Ownership ($0) = $1,572.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($302).
Total Amount
$1,572
General + Research + Ownership
Payments
89
Total payment records
General Amount
$1,572
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $302 |
| Lilly USA, LLC | $286 |
| Amgen Inc. | $159 |
| Novo Nordisk Inc | $129 |
| Astellas Pharma US Inc | $82 |
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: 2008-11-21
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 |
|---|---|---|---|---|
| I20081121000505 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,493 | 403 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 856 | 112 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 664 | 104 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 485 | 147 | $0 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 179 | 57 | $0 |
Insurance plans in this area (ZIP 79760)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Cardiovascular Disease (Cardiology) | TX | |
| Family Practice | TX | |
| Orthopedic Surgery | TX | |
| Family Practice, Undersea And Hyperbaric Medicine | TX | |
| - | TX | |
| Orthopedic Surgery | LA | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Physical Medicine And Rehabilitation, Pain Management | TX |
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