Kwangsu Kim, DPM
NPI 1104095744ActiveIndividual· Podiatrist· Bayside, NY
Podiatrist (DPM) in Bayside, New York, trained at Temple University School of Medicine (class of 2005). Their prescriptions cost Medicare Part D more than their services did: $5,360,662 for 19,264 claims, against $76,170 paid for services in 2024.
Overview
| NPI | 1104095744 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPM |
| Sole proprietor | Yes |
| NPI issued | Feb 28, 2008 |
| Last updated in NPPES | Oct 29, 2025 |
| Certified by provider | Oct 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | N006264-01 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Podiatry (NJ); Practitioner - Podiatry (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 219 |
|---|---|
| Services billed | 1,042 across 20 procedure codes |
| Paid by Medicare | $76,170 |
Part D prescriptions in 2024
| Prescriptions (claims) | 19,264 · 22,160 30-day fills |
|---|---|
| Patients | 2,046 |
| Total drug cost | $5,360,662 |
| Generic share | 63% of claims |
Education and affiliations
| Medical school | Temple University School of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Podiatry |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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