DR. TIMOTHY ROBERT KIM (M.D.) – Anesthesiology Physician, NPI 1760465231

DR. TIMOTHY ROBERT KIM (M.D.) is a healthcare provider. based in Pewaukee, Wisconsin. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 33395-020 (WI). The NPI Number for DR. TIMOTHY ROBERT KIM (M.D.) is 1760465231

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY ROBERT KIM (M.D.)
NPI
1760465231
Phone
(262) 303-5000
Address
N15W28300 GOLF RD
Enumeration Date
29 November 2005
Last Update Date
6 November 2019

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
2623035055
Graduation Year
1991 (35 years ago)
PAC ID
9032005145
Group Practice PAC ID
1052200953
Professional Enrollment ID
I20040225000865
Address ID
WI530724800PEN15W2RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,266 ANESTHESIOLOGY in WI

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Provider Addresses for DR. TIMOTHY ROBERT KIM (M.D.)

  • N15W28300, Golf Road, Golf View, Village of Pewaukee, Waukesha County, Wisconsin, 53072, United States

    PEWAUKEE, WI 530724800

    Phone: (262) 303-5000

    Fax: (262) 303-5006

    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 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Avanos Medical ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Avanos Medical$14
View all Open Payments →|Open Payments Risk Radar →

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: 2004-02-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040225000865IAnesthesiologyWITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
64448Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter1616$0
11981Insertion of drug delivery implant into tissue1515$0
01402Anesthesia for procedure for total knee joint replacement1515$0
64450Injection of anesthetic agent and/or steroid into other nerve or branch1414$0
76942Ultrasonic guidance for needle placement1414$0
View full utilization report →

Insurance plans in this area (ZIP 53072)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052200953View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Orthopedic SurgeryWI
Physician AssistantWI
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeOR
Physical Therapist In Private PracticeWI
Orthopedic SurgeryWI
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeWI

Reviews

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Frequently asked questions

How do payers reference DR. TIMOTHY ROBERT KIM (M.D.)?
For DR. TIMOTHY ROBERT KIM (M.D.), use NPI 1760465231 as the unique 10-digit identifier.
Active or inactive — what applies to DR. TIMOTHY ROBERT KIM (M.D.)?
You should see DR. TIMOTHY ROBERT KIM (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. TIMOTHY ROBERT KIM (M.D.)?
DR. TIMOTHY ROBERT KIM (M.D.)'s record emphasizes Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. TIMOTHY ROBERT KIM (M.D.) associated with Pewaukee?
Public fields place DR. TIMOTHY ROBERT KIM (M.D.) around Pewaukee, Wisconsin. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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