Jisoo Kim
NPI 1154819878ActiveIndividual· Surgery· Greenville, NC
Surgery with Vidant Medical Group LLC, practicing in Greenville, North Carolina. Mostly services rather than prescriptions: Medicare paid $14,494 for 56 patients in 2024, with only 17 Part D claims. Intuitive Surgical, Inc. was the largest of 2 companies reporting payments in 2025, $572.76 in all, mostly food and beverage. Lists Ecu Health Medical Center as a hospital affiliation.
Overview
| NPI | 1154819878 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 27, 2018 |
| Last updated in NPPES | Sep 24, 2024 |
| Certified by provider | Sep 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 2022-02860 | NC |
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 - General Surgery (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 56 |
|---|---|
| Services billed | 105 across 41 procedure codes |
| Paid by Medicare | $14,494 |
Part D prescriptions in 2024
| Prescriptions (claims) | 17 · 21 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $232.68 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | General Surgery |
Medical group
- Vidant Medical Group LLCAhoskie, NC · 1,012 clinicians
Hospital affiliation
- Ecu Health Medical CenterGreenville, NC
Industry payments (Open Payments)
- 2025$572.76 · 5 payments from 2 companies
- 2024$21.46 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Intuitive Surgical, Inc. | $545.72 | 4 |
| Davol Inc. | $27.04 | 1 |
What the 2025 payments were for
- Food and Beverage$405.38 · 2 payments
- Travel and Lodging$167.38 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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