DR. HANA TICA LIM (DMD) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1174083844
Oral & Maxillofacial Surgery (D.M.D.)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
40 ORAL SURGERY in WA
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Provider Addresses for DR. HANA TICA LIM (DMD)
1959 NE PACIFIC ST BOX 357134
SEATTLE, WA 981950001
Phone:
Type: Mailing
University of Washington Medical Center - Montlake, 1959, Northeast Pacific Street, University District, Seattle, King County, Washington, 98195, United States
SEATTLE, WA 981950001
Phone: (360) 356-2278
Type: Location
1580 MAKALOA ST STE 725
HONOLULU, HI 968143216
Phone: (808) 973-3747
Fax: (808) 973-3757
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $1,571.
Total Amount is formed as General ($1,571) + Research ($0) + Ownership ($0) = $1,571.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($710).
Total Amount
$1,571
General + Research + Ownership
Payments
19
Total payment records
General Amount
$1,571
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-09-23
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 |
|---|---|---|---|---|
| I20250923000983 | I | Oral Surgery | HI | 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 98195)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral Surgery | HI | |
| Oral Surgery | HI | |
| Maxillofacial Surgery | HI | |
| Oral Surgery, Maxillofacial Surgery | HI |
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