SANG TAE C KIM (DO) – Family Medicine Physician, NPI 1144330762
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
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Provider Addresses for SANG TAE C KIM (DO)
1500, Coulter Street, Amarillo, Potter County, Texas, 79106, United States
SUITE 6
AMARILLO, TX 791061791
Phone: (806) 467-9777
Fax: (806) 467-9799
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 454 Open Payments records for all available years, with a total value of $122,583.
Total Amount is formed as General ($122,583) + Research ($0) + Ownership ($0) = $122,583.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($69,252).
Total Amount
$122,583
General + Research + Ownership
Payments
454
Total payment records
General Amount
$122,583
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $69,252 |
| Phathom Pharmaceuticals, Inc. | $17,849 |
| Amgen Inc. | $16,920 |
| ABBVIE INC. | $14,280 |
| GlaxoSmithKline, LLC. | $817 |
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: 2010-02-04
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 |
|---|---|---|---|---|
| I20100204000648 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 486 | 66 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 369 | 204 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 288 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 221 | 149 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 209 | 45 | $0 |
Insurance plans in this area (ZIP 79106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| - | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| - | TX |
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