Shane Christopher Kim, MD
NPI 1871623678ActiveIndividual· Plastic Surgery· Portland, OR
Plastic Surgery (MD) with Legacy Clinics LLC and 1 other group, practicing in Portland, Oregon. In 2024 Medicare paid $36,538 for 86 patients, and Part D covered 85 of their prescriptions, 86% of them generic. Lists Legacy Good Samaritan Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1871623678 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Mar 7, 2007 |
| Last updated in NPPES | Jul 15, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | MD29423 | OR |
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 (OR); Practitioner - Plastic and Reconstructive Surgery (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 86 |
|---|---|
| Services billed | 165 across 35 procedure codes |
| Paid by Medicare | $36,538 |
Part D prescriptions in 2024
| Prescriptions (claims) | 85 · 103 30-day fills |
|---|---|
| Patients | 50 |
| Total drug cost | $27,363 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Plastic And Reconstructive Surgery |
| Secondary specialties | Hand Surgery |
| Telehealth | Offers telehealth |
Medical groups
- Legacy Clinics LLCPortland, OR · 713 clinicians
- Legacy Salmon Creek HospitalPortland, OR · 301 clinicians
Hospital affiliations
- Legacy Good Samaritan Medical CenterPortland, OR
- Legacy Meridian Park Medical CenterTualatin, OR
- Legacy Salmon Creek Medical CenterVancouver, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Plastic Surgery providers in Portland
- 1881467082
- 1437346558
- 1215264650
- 1780844134
- 1437573185
- 1205091394
- 1174708457
- 1457638884
- 1235285214
- 1649581562
- 1093723470
- 1861481913