ELLIOTT JIWOO KIM (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1134562051
Orthopaedic Surgery of the Spine Physician
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Profile Insights
NPPES metrics only — not quality of care.
844 ORTHOPEDIC SURGERY in VA
Provider Addresses for ELLIOTT JIWOO KIM (M.D.)
1635 N George Mason Dr Ste 310
Arlington, VA 222053616
Phone: (703) 810-5215
Fax: (703) 810-5428
Type: Location
1215 21st Ave S
Suite 4200
Nashville, TN 372328774
Phone: (615) 936-0100
Type: Location
PO BOX 75868
BALTIMORE, MD 212753616
Phone: (804) 327-9242
Fax: (804) 327-9812
Type: Mailing
1635 N GEORGE MASON DR STE 310
ARLINGTON, VA 222053616
Phone: (703) 810-5215
Fax: (703) 810-5428
Type: Location
2004 HAYES ST STE 200
NASHVILLE, TN 372032689
Phone: (615) 324-1600
Fax: (615) 324-1661
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $490.
Total Amount is formed as General ($490) + Research ($0) + Ownership ($0) = $490.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Medtronic, Inc. ($222).
Total Amount
$490
General + Research + Ownership
Payments
14
Total payment records
General Amount
$490
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $222 |
| Abbott Laboratories | $128 |
| Globus Medical, Inc. | $59 |
| DJO, LLC | $48 |
| Bioventus LLC | $32 |
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: 2022-07-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190815001140 | I | Orthopedic Surgery | DC | TBD |
| I20220707001964 | I | Orthopedic Surgery | TN | 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 | 158 | 101 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 71 | 50 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 65 | 65 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 36 | 36 | $0 |
| 72050 | X-ray of upper spine, 4-5 views | 33 | 32 | $0 |
Insurance plans in this area (ZIP 22205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NC | |
| Physician Assistant | NC | |
| Internal Medicine | SC | |
| Orthopedic Surgery | MO | |
| - | CA | |
| Physical Therapist In Private Practice | MD | |
| Physician Assistant | NC | |
| Internal Medicine | TN | |
| Nurse Practitioner | AR | |
| - | CO |
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