PETER D KIM (M.D.) – Family Medicine Physician, NPI 1417925900
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
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Provider Addresses for PETER D KIM (M.D.)
4208, Evergreen Lane, Alpine, Annandale, Fairfax, Virginia, 22003, United States
SUITE 222
ANNANDALE, VA 220033235
Phone: (703) 642-2288
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 46 Open Payments records for all available years, with a total value of $965.
Total Amount is formed as General ($965) + Research ($0) + Ownership ($0) = $965.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Amgen Inc. ($142).
Total Amount
$965
General + Research + Ownership
Payments
46
Total payment records
General Amount
$965
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $142 |
| Gilead Sciences, Inc. | $114 |
| AstraZeneca Pharmaceuticals LP | $96 |
| Exact Sciences Corporation | $82 |
| Sumitomo Pharma America, Inc. | $70 |
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: 2005-12-19
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 |
|---|---|---|---|---|
| I20051219000844 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,354 | 282 | $0 |
| J0897 | Injection, denosumab, 1 mg | 1,260 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 937 | 296 | $0 |
| 99497 | Advance care planning, first 30 minutes | 204 | 203 | $0 |
| 0124A | Adm sarscv2 bvl 30mcg/.3ml a | 187 | 183 | $0 |
Insurance plans in this area (ZIP 22003)
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