DR. JAE Y KIM (M.D.) – Facial Plastic Surgery Physician, NPI 1609168327
Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
310 OTOLARYNGOLOGY in VA
Provider Addresses for DR. JAE Y KIM (M.D.)
2200 WILSON BLVD STE 102-219
ARLINGTON, VA 222013397
Phone: (347) 551-1113
Type: Location
1250 E Marshall St
Otolaryngology
Richmond, VA 232985051
Phone: (804) 628-4368
Fax: (804) 828-8299
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $471.
Total Amount is formed as General ($471) + Research ($0) + Ownership ($0) = $471.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($281).
Total Amount
$471
General + Research + Ownership
Payments
10
Total payment records
General Amount
$471
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TREACE MEDICAL CONCEPTS, INC. | $281 |
| Galderma Laboratories, L.P. | $126 |
| Merz North America, Inc. | $23 |
| ABBVIE INC. | $22 |
| Organogenesis Inc. | $20 |
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: 2019-05-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20160926001831 | I | Otolaryngology | VA | TBD |
| I20190308000311 | I | Otolaryngology | PA | TBD |
| I20190508002816 | I | Otolaryngology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Pain Management, Anesthesiology | VA | |
| Physical Therapist In Private Practice | VA | |
| P O D I A T R Y | VA | |
| - | VA | |
| Physical Therapist In Private Practice | VA | |
| Sports Medicine, Orthopedic Surgery | VA | |
| Internal Medicine | VA | |
| Orthopedic Surgery | VA | |
| Physical Therapist In Private Practice | MD | |
| Physician Assistant | MD |
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