JIN MOON KANG (M.D.) – Family Medicine Physician, NPI 1083651194
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,488 FAMILY PRACTICE in MD
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Provider Addresses for JIN MOON KANG (M.D.)
628 LIVE OAK DR
MC LEAN, VA 221011562
Phone: (301) 869-0700
Type: Mailing
Shady Grove Road, King Farm, Rockville, Montgomery County, Maryland, 20850, United States
SUITE 102
ROCKVILLE, MD 208503254
Phone: (301) 330-0661
Fax: (301) 977-6940
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 $2,127.
Total Amount is formed as General ($2,127) + Research ($0) + Ownership ($0) = $2,127.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($504).
Total Amount
$2,127
General + Research + Ownership
Payments
89
Total payment records
General Amount
$2,127
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $504 |
| PFIZER INC. | $363 |
| Astellas Pharma US Inc | $313 |
| Abbott Laboratories | $184 |
| Dexcom, Inc. | $134 |
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: 2006-05-09
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 |
|---|---|---|---|---|
| I20060509000726 | I | Family Practice | DC | 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 | 239 | 156 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 85 | 72 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 53 | 51 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 45 | 45 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 41 | 39 | $0 |
Insurance plans in this area (ZIP 22101)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MD | 90670 | Pneumococcal vaccine for injection into muscle | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MD | |
| Internal Medicine | WV |
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