Diane Kim
NPI 1922723279ActiveIndividual· Physician Assistant· Patchogue, NY
Physician Assistant with New York University and 2 other groups, practicing in Patchogue, New York. Mostly services rather than prescriptions: Medicare paid $788.77 for 11 patients in 2024, with only 33 Part D claims. Mozarc Medical US LLC reported $21.50 in payments in 2025, mostly food and beverage. Lists Long Island Community Hospital as a hospital affiliation.
Overview
| NPI | 1922723279 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 10, 2022 |
| Last updated in NPPES | Mar 11, 2026 |
| Certified by provider | Mar 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Physician Assistant, Medical | 363AM0700X | 25MP00996600 | NJ |
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 - Physician Assistant (NJ); Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 11 across 6 procedure codes |
| Paid by Medicare | $788.77 |
Part D prescriptions in 2024
| Prescriptions (claims) | 33 · 37 30-day fills |
|---|---|
| Patients | 23 |
| Total drug cost | $374.09 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- New York UniversityNew York, NY · 6,134 clinicians
- Summit Medical Group PABerkeley Heights, NJ · 1,212 clinicians
- City Medical of Upper East Side PLLCAstoria, NY · 658 clinicians
Hospital affiliation
- Long Island Community HospitalPatchogue, NY
Industry payments (Open Payments)
- 2025$21.50 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mozarc Medical US LLC | $21.50 | 1 |
What the 2025 payments were for
- Food and Beverage$21.50 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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