Mary Kim, PA-C
Medical Physician Assistant · San Antonio, TX
Mary Kim, PA-C is a medical physician assistant with a practice address in San Antonio, Texas, and NPI 1275720930, issued on Sep 26, 2007. Check the license (Texas PA05485, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mary Kim
- Credential
- PA-C
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- PA05485 TX
Self-reported in NPPES; status is on the state search - Practice location
- 4502 Medical Dr, San Antonio, TX 78229
- Phone
- (210) 358-4000
- Enumerated
- Sep 26, 2007
- Record last updated
- Apr 25, 2017 (not updated in 9 years: call before relying on the address or phone)
- Medicaid ID
- 190597802 TX
- Medicare enrollment
- Enrolled (PECOS I20071130000398); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 2,146 in Texas → Look up another NPI →
Also registered at 4502 Medical Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Mary Kim in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Texas board licenses this profession
Search for license PA05485Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
91% fewer Medicare Part D claims than the average medical physician assistant in 2024
99 Medicare Part D claims for 36 beneficiaries, against an average of 1,148 among the 23,801 providers of this specialty who prescribed in Part D. Brand-name drugs were 17% 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: $456.31
4 payments; by number, the most common kind was food and beverage; the largest payer was Janssen Pharmaceuticals, Inc. The 16,165 providers of this specialty with any payment received $1,055.00 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
- Medcare Associates PACastroville, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mary Kim among 2,146 medical physician assistant records in Texas
Mary Kim, PA-C is one of 2,146 medical physician assistant records with a practice address in Texas. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 27% of them.
- NPI issued2007 · 27% of these records are older, 64% newer
- In a Medicare fileYes · 68% of these records are
- In the CMS Doctors and Clinicians fileYes · 44% of these records are
- Graduated2007 · median 2012 among the 953 with a school on file
- Record last updated2017 · 57% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Medical Physician Assistant providers in Texas
There are 2,146 medical physician assistant records in Texas.
All 2,146 in Texas → Every provider in San Antonio → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Christopher Delallo, MPAS,PA-CSan Antonio, TX 782291679680664
- Ngoc-Diep Do, MPA-CSan Antonio, TX 782291336122829
- Reena Doane, PA-CSan Antonio, TX 782291982638235
- Tommy Doster, PA-C, MPASSan Antonio, TX 782291568422749
- N Fields, P.A.San Antonio, TX 782291578532529
- John Kodosky, PA-CSan Antonio, TX 782291548377617
- Robert Lawson, PA-CSan Antonio, TX 782291255448320
- Doo San Lee, PASan Antonio, TX 782291487761458
Common questions
What is Mary Kim, PA-C's NPI number?
Mary Kim, PA-C's National Provider Identifier (NPI) is 1275720930, issued on Sep 26, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Mary Kim, PA-C located?
The NPPES record lists a practice address at 4502 Medical Dr, San Antonio, TX, 78229. Phone: (210) 358-4000. Providers update this record themselves, so call before visiting.
How can I verify Mary Kim, PA-C's license?
NPPES lists Texas license number PA05485, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.
How much does Mary Kim, PA-C prescribe under Medicare Part D?
In 2024, Mary Kim, PA-C had 99 Medicare Part D claims for 36 beneficiaries; the average among medical physician assistant prescribers was 1,148. 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.