DR. KITTI KAIBORIBOON (M.D.) – Neurology Physician, NPI 1912062035
Neurology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
590 NEUROLOGY in WA
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Provider Addresses for DR. KITTI KAIBORIBOON (M.D.)
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Fax: (206) 568-7043
Type: Mailing
James Tower, 550, 17th Avenue, Central District, Seattle, King County, Washington, 98122, United States
SUITE 540
SEATTLE, WA 981225788
Phone: (206) 386-3880
Fax: (206) 386-3882
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $389.
Total Amount is formed as General ($389) + Research ($0) + Ownership ($0) = $389.
Last reported payment date: 2023-01-20 • Largest payer in this snapshot: Ceribell, Inc. ($389).
Total Amount
$389
General + Research + Ownership
Payments
1
Total payment records
General Amount
$389
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ceribell, Inc. | $389 |
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: 2015-01-30
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 |
|---|---|---|---|---|
| I20150130000742 | I | Neurology | WA | 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 |
|---|---|---|---|---|
| G0453 | Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) | 187 | 33 | $0 |
| 95937 | Testing of nerve-muscle junction | 159 | 49 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 64 | 44 | $0 |
| 95819 | Measurement of brain wave activity (eeg), awake and asleep | 61 | 61 | $0 |
| 95938 | Placement of skin electrodes and measurement of stimulated sites on arms and legs | 60 | 60 | $0 |
Insurance plans in this area (ZIP 84125)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROLOGY | WA | 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 39 | 39 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| General Surgery | WA | |
| Orthopedic Surgery | WA | |
| P S Y C H I A T R Y | WA | |
| Hospitalist, Hospice/Palliative Care, Internal Medicine | WA | |
| Hospitalist, Hospice/Palliative Care | WA | |
| Physician Assistant | WA | |
| N E U R O L O G Y | WA | |
| N E U R O L O G Y | WA | |
| Hospitalist, Hospice/Palliative Care, Internal Medicine | ND |
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