Jisoo Kim
Surgery Physician · Greenville, NC
Jisoo Kim is a surgery physician with a practice address in Greenville, North Carolina, and NPI 1154819878, issued on Apr 27, 2018. Check the license (North Carolina 2022-02860, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.
- Name
- Jisoo Kim
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- 2022-02860 NC
Self-reported in NPPES; status is on the state search - Practice location
- 517 Moye Blvd, Greenville, NC 27834
- Phone
- (252) 744-2393
- Enumerated
- Apr 27, 2018
- Record last updated
- Sep 24, 2024
- Fax
- (252) 744-0013
- Medicare enrollment
- Enrolled (PECOS I20230627000322); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 1,170 in North Carolina → Look up another NPI →
Also registered at 517 Moye Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ashley AaronSurgery Physician1417246950
- Joshua Aldridge, MDSurgery Physician1356848907
- Makenzie Ammons, MDPediatrics Physician1649975442
- Leann Barnett, PA-CPhysician Assistant1821264599
- Christopher Bassett, MDPediatrics Physician1598758252
- Mirza Beg, MDPediatrics Physician1164085247
Verify Jisoo Kim in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNorth Carolina Medical Board
Search for license 2022-02860Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
88% fewer Medicare Part D claims than the average surgery physician in 2024
17 Medicare Part D claims for 12 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $21.46
1 payment: food and beverage; the largest payer was Baxter Healthcare. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Vidant Medical Group LLCWashington, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jisoo Kim among 1,170 surgery physician records in North Carolina
Jisoo Kim is one of 1,170 surgery physician records with a practice address in North Carolina. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 89% of them.
- NPI issued2018 · 89% of these records are older, 8% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2018 · median 2004 among the 773 with a school on file
- Record last updated2024 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
63 surgery physician records list a practice address in Greenville
They are 63 of the 5,742 NPPES records with a practice address in Greenville, and 1,170 surgery physician records in North Carolina.
All 1,170 in North Carolina → Every provider in Greenville → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Shahab Akhter, MDGreenville, NC 278341114998044
- Walter Boyd, MDGreenville, NC 278341689634503
- William Chapman, MDGreenville, NC 278341588662514
- Paul Cunningham, MDGreenville, NC 278341508815168
- Robert Fanelli, MDGreenville, NC 278341578551610
- Barry Hastings, M.D.Greenville, NC 278341891790259
- Mark Iannettoni, MDGreenville, NC 278341164404976
- Kenneth Macdonald, MDGreenville, NC 278341205829371
Common questions
What is Jisoo Kim's NPI number?
Jisoo Kim's National Provider Identifier (NPI) is 1154819878, issued on Apr 27, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Jisoo Kim located?
The NPPES record lists a practice address at 517 Moye Blvd, Greenville, NC, 27834. Phone: (252) 744-2393. Providers update this record themselves, so call before visiting.
How can I verify Jisoo Kim's license?
NPPES lists North Carolina license number 2022-02860, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Jisoo Kim prescribe under Medicare Part D?
In 2024, Jisoo Kim had 17 Medicare Part D claims for 12 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.