Mary T. Kim, M.D.
NPI 1033192828ActiveIndividual· Surgery, Plastic and Reconstructive Surgery· Shreveport, LA
Surgery, Plastic and Reconstructive Surgery (M.D.) in Shreveport, Louisiana, trained at Tufts University School of Medicine (class of 1997). Mostly services rather than prescriptions: Medicare paid $18,340 for 27 patients in 2024, with only 45 Part D claims. Mimedx Group, Inc. was the largest of 2 companies reporting payments in 2025, $141.04 in all, mostly food and beverage.
Overview
| NPI | 1033192828 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Nov 25, 2005 |
| Last updated in NPPES | May 18, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | MD200563 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Plastic and Reconstructive Surgery (LA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 64 across 22 procedure codes |
| Paid by Medicare | $18,340 |
Part D prescriptions in 2024
| Prescriptions (claims) | 45 · 45 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $267.07 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Tufts University School of Medicine |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Plastic And Reconstructive Surgery |
Medical group
- Bundrick and O'Neal Plastic Surgery (Amc)Shreveport, LA · 3 clinicians
Hospital affiliation
- Willis Knighton Medical CenterShreveport, LA
Industry payments (Open Payments)
- 2025$141.04 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mimedx Group, Inc. | $113.28 | 1 |
| Abbvie Inc. | $27.76 | 1 |
What the 2025 payments were for
- Food and Beverage$141.04 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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