Jaewon Kim
NPI 1558032995ActiveIndividual· Dentist, Periodontics· Oklahoma City, OK
Opted out of Medicare from May 2026 to May 2028. Dentist, Periodontics in Oklahoma City, Oklahoma, licensed in OK, with an NPI issued in September 2021. Part D covered 46 prescriptions written in 2024, 100% of them generic. Patterson Companies, Inc. reported $14.28 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1558032995 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 24, 2021 |
| Last updated in NPPES | Sep 24, 2021 |
| Certified by provider | Sep 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | F-021 | OK |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out May 14, 2026 – May 14, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 46 · 47 30-day fills |
|---|---|
| Patients | 27 |
| Total drug cost | $159.94 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$14.28 · 1 payment from 1 company
- 2024$19.16 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Patterson Companies, Inc. | $14.28 | 1 |
What the 2025 payments were for
- Food and Beverage$14.28 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 31 periodontists in Oklahoma City · All periodontists in Oklahoma