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Song Jin Sophie Kim, PA

NPI 1336380203ActiveIndividual· Physician Assistant· Centreville, VA

Physician Assistant (PA) in Centreville, Virginia, trained at Yale University School of Medicine (class of 2008). 184 Medicare patients in 2024, $28,572 paid; nearly all of their 146 Part D prescriptions were generic (97%). Abbvie Inc. was the largest of 11 companies reporting payments in 2025, $1,313 in all, mostly food and beverage.

Overview

NPI1336380203
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedMar 23, 2009
Last updated in NPPESFeb 12, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X0110002960VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (DC); Practitioner - Physician Assistant (VA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients184
Services billed825 across 16 procedure codes
Paid by Medicare$28,572

Part D prescriptions in 2024

Prescriptions (claims)146 · 157 30-day fills
Patients80
Total drug cost$6,201
Generic share97% of claims

Medicare sources and data years

Education and affiliations

Medical schoolYale University School of Medicine
Graduation year2008
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$1,313 · 59 payments from 11 companies
  • 2024$1,728 · 70 payments from 14 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$1,313 · 59 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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