PYONG C KIM (MD) – Diagnostic Radiology Physician, NPI 1114975075
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,262 DIAGNOSTIC RADIOLOGY in WA
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Provider Addresses for PYONG C KIM (MD)
PO BOX 26730
FEDERAL WAY, WA 980933730
Phone: (253) 661-1700
Fax: (253) 661-4565
Type: Mailing
Jex Chiropractic & Massage, 533, South 336th Street, Federal Way, King County, Washington, 98003-5402, United States
STE C
FEDERAL WAY, WA 980036329
Phone: (253) 661-1700
Fax: (253) 661-4565
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2006-06-16
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 |
|---|---|---|---|---|
| I20060616000014 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,225 | 11 | $0 |
| 70551 | Mri scan of brain without contrast | 257 | 250 | $0 |
| 70553 | Mri scan of brain before and after contrast | 182 | 169 | $0 |
| 71045 | X-ray of chest, 1 view | 133 | 128 | $0 |
| 70450 | Ct scan head or brain without contrast | 115 | 112 | $0 |
Insurance plans in this area (ZIP 98093)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WA | 71250 | CT scan chest | 49 | 49 |
| DIAGNOSTIC RADIOLOGY | WA | 73110 | X-ray of wrist, minimum of 3 views | 13 | 13 |
| DIAGNOSTIC RADIOLOGY | WA | 73630 | X-ray of foot, minimum of 3 views | 19 | 19 |
| DIAGNOSTIC RADIOLOGY | WA | 74177 | CT scan of abdomen and pelvis with contrast | 79 | 77 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology | WI | |
| Physician Assistant | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Interventional Radiology, Diagnostic Radiology | WA | |
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | CA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA |
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