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Peter Soo-Hwan Kim

Physician Assistant โ€ข Chandler, AZ

Active NPI 1629688775 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

485 S Dobson Rd Ste 110
Chandler, AZ 852245600

Call 4807284470 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

485 S Dobson Rd Ste 110

Chandler, AZ 852245600

Telephone 4807284470
Fax 4807284499
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Gilbert, AZ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Banner Physician Specialists Arizona Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2020

Medicare patients

73 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $2,986 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $2,387 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

25 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$48 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $289.73 across 2 records.

By nature of payment

  • Food and Beverage: $289.73 across 2 records.

Reporting-company totals

  • DePuy Synthes Sales Inc.: $289.73 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Peter Kim has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Peter Kim as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chandler and Arizona

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 90% of clinicians listed under Physician Assistant in Chandler, AZ (2024, 90 clinicians with data). Median for this group: 375. Middle half: 101 to 958.

Fewer Medicare Part B services than 90% of clinicians listed under Physician Assistant in Arizona (2024, 1,724 clinicians with data). Median for this group: 275. Middle half: 92 to 797.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Chandler, AZ (2024, 90 clinicians with data). Median for this group: $27,941. Middle half: $9,049 to $65,021.

A lower Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Arizona (2024, 1,724 clinicians with data). Median for this group: $21,104. Middle half: $7,577 to $48,477.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under Physician Assistant in Chandler, AZ (2024, 90 clinicians with data). Median for this group: $19,738. Middle half: $6,733 to $50,602.

A lower Medicare payment amount than 85% of clinicians listed under Physician Assistant in Arizona (2024, 1,724 clinicians with data). Median for this group: $15,425. Middle half: $5,570 to $36,295.

Medicare Part D prescriptions

Fewer Part D prescriptions than 90% of clinicians listed under Physician Assistant in Chandler, AZ (2024, 103 clinicians with data). Median for this group: 275. Middle half: 88 to 1,106.

Fewer Part D prescriptions than 90% of clinicians listed under Physician Assistant in Arizona (2024, 1,917 clinicians with data). Median for this group: 260. Middle half: 86 to 858.

Part D drug cost

A lower Part D drug cost than 95% of clinicians listed under Physician Assistant in Chandler, AZ (2024, 103 clinicians with data). Median for this group: $6,444. Middle half: $728 to $104,113.

A lower Part D drug cost than 95% of clinicians listed under Physician Assistant in Arizona (2024, 1,917 clinicians with data). Median for this group: $4,301. Middle half: $765 to $83,048.

148 active clinicians are listed under Physician Assistant with a practice address in Chandler, AZ (3,673 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chandler

16.2% of these 148 clinicians have the CMS telehealth indicator.

63.5% of these 148 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $289.73.

Manufacturer Payment Nature Product Type Amount ($)
DePuy Synthes Sales Inc.
Food and Beverage
In-kind items and services
NA General $147.13
DePuy Synthes Sales Inc.
Food and Beverage
In-kind items and services
NA General $142.60

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2021โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
16 15 $185.00 $65.04
27245 Treatment of broken neck of thigh bone with bone implant
12 12 $801.00 $162.09

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 13 78 $34.56 13
Gabapentin Gabapentin 12 168 $13.08 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

License # reported to NPPES AZ 8841
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20220304002051

Enrollment State Jurisdiction

AZ

PECOS Control ID

7517366255

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Banner Physician Specialists Arizona Llc

14502 W Meeker Blvd, Sun City West, AZ 853755282

Phone: 6235244000

Banner Physician Specialists Arizona Llc

7701 W Aspera Blvd, Glendale, AZ 853087935

Phone: 6232482100

Banner Physician Specialists Arizona Llc

9165 W Thunderbird Rd, Peoria, AZ 853814847

Phone: 6232851120

Banner Physician Specialists Arizona Llc

9201 W Thomas Rd, Phoenix, AZ 850373332

Phone: 6233274000

Banner Physician Specialists Arizona Llc

5601 W Eugie Ave, Glendale, AZ 853041256

Phone: 6028654510

Banner Physician Specialists Arizona Llc

10401 W Thunderbird Blvd, Sun City, AZ 853513004

Phone: 6238324000

Banner Physician Specialists Arizona Llc

5555 W Thunderbird Rd, Glendale, AZ 853064622

Phone: 6028655555

Secondary Practice Locations

3420 S Mercy Rd Ste 200

Gilbert, AZ 852970423

Phone: 4809093788

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

28 listed
Ellayna Avila , PA-C

Physician Assistant - Surgical

NPI 1417435181

Physician Assistant (Certified)

Roland Benigno , PA-C

Physician Assistant - Surgical

NPI 1578775748

Physician Assistant (Certified)

Nathan Blackhurst , PA

Physician Assistant - Surgical

NPI 1952863003

Physician Assistant

Cortland Collins , PA-C

Physician Assistant - Surgical

NPI 1750005005

Physician Assistant (Certified)

Gary Fullmer , PA-C

Physician Assistant - Surgical

NPI 1427008150

Physician Assistant (Certified)

Dr. Benjamin Geer , MD

Orthopaedic Surgery

NPI 1386847226

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
๐Ÿ“
Updated Practice Location May 26, 2026

Registered at 485 S DOBSON RD STE 110, CHANDLER, AZ 852245600 (Tel: 4807284470)

๐Ÿ“
Updated Business Mailing Address May 26, 2026

Registered at PO BOX 33269, PHOENIX, AZ 850673269 (Tel: 6024064786)

๐Ÿ“
Updated Practice Location February 09, 2021

Registered at 4103 MERCANTILE DR, LAKE OSWEGO, OR 970352556 (Tel: 5038509940)

๐Ÿ“
Updated Business Mailing Address February 09, 2021

Registered at 4103 MERCANTILE DR, LAKE OSWEGO, OR 970352556 (Tel: 5038509940)

โœ…
NPI Profile Active August 04, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) August 04, 2020

Registered at 4610 X ST, SACRAMENTO, CA 958172200 (Tel: 7342145916)

๐Ÿ“
Business Mailing Address (Initial Record) August 04, 2020

Registered at 4000 INNOVATOR DR UNIT 19102, SACRAMENTO, CA 958343897 (Tel: 9512712093)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) August 04, 2020

Recorded as PETER KIM

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2020

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration August 04, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629688775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2020
Last Update: May 26, 2026
Sole Proprietor: No

Other Physician Assistants in Chandler

All Physician Assistants in Chandler

Mailing Address

Po Box 33269

Phoenix, AZ 850673269

Phone: 6024064786

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.