KYUNG NAM KIM (M.D.) – Medical Oncology Physician, NPI 1457391773
Medical Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5 MEDICAL ONCOLOGY in WY
Provider Addresses for KYUNG NAM KIM (M.D.)
1401 W 5TH ST
SHERIDAN, WY 828012705
Phone: (307) 672-1000
Fax: (307) 674-5405
Type: Location
8100 Bruceville Rd
Sacramento, CA 958232353
Phone: (916) 689-9300
Fax: (916) 689-9322
Type: Location
8110 Timberlake Way
Sacramento, CA 958235401
Phone: (916) 250-0377
Fax: (916) 250-0378
Type: Location
9390 Big Horn Blvd Ste 145
Elk Grove, CA 957587980
Phone: (916) 573-1549
Type: Location
1631 Creekside Dr Ste 102
Folsom, CA 95630
Phone: (916) 250-0377
Fax: (916) 250-0378
Type: Location
Oak Avenue Parkway, Lexington Hills, Folsom, Sacramento County, California, 95630, United States
FOLSOM, CA 956306814
Phone: (916) 250-0377
Fax: (916) 250-0378
Type: Mailing
Creekside Drive, Folsom, Sacramento County, California, 95630, United States
FOLSOM, CA 95630
Phone: (916) 250-0377
Fax: (916) 250-0378
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $161.
Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.
Last reported payment date: 2024-04-29 • Largest payer in this snapshot: Seagen Inc. ($100).
Total Amount
$161
General + Research + Ownership
Payments
3
Total payment records
General Amount
$161
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Seagen Inc. | $100 |
| PFIZER INC. | $32 |
| Novartis Pharmaceuticals Corporation | $29 |
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: 2024-06-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050808000369 | I | Hematology/Oncology | CA | TBD |
| I20240628001567 | I | Medical Oncology | WY | 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 |
|---|---|---|---|---|
| J1453 | Injection, fosaprepitant, 1 mg | 6,600 | 14 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,160 | 20 | $0 |
| J2469 | Injection, palonosetron hcl, 25 mcg | 580 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 523 | 137 | $0 |
| 96375 | Injection of additional new drug or substance into vein | 301 | 22 | $0 |
Insurance plans in this area (ZIP 82801)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| HEMATOLOGY/ONCOLOGY | CA | 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 435 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | AZ | |
| - | WY | |
| Internal Medicine | WY | |
| Diagnostic Radiology | IA | |
| Nurse Practitioner | MT | |
| Interventional Radiology, Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | IA | |
| Internal Medicine | WY | |
| Diagnostic Radiology | IA | |
| Emergency Medicine | WY | |
| Family Practice | MT |
Reviews
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