Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Saebom Kim , APRN

Nurse Practitioner - Primary Care โ€ข Lake Oswego, OR

Active NPI 1861109555 Individual Practitioner Female Practitioner
Practice location in NPPES

4550 Kruse Way Ste 125
Lake Oswego, OR 970353533

Call 5037012490 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

4550 Kruse Way Ste 125

Lake Oswego, OR 970353533

Telephone 5037012490
Fax 8666635826
Organization at the Same NPPES Address or Phone
Optum Behavioral Care Of Colorado, P.c. Facility NPI 1689551780

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare patients

228 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 $45,263 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 $36,065 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

389 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

$36,375 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 2024

All general payments: $62.16 across 3 records.

By nature of payment

  • Food and Beverage: $62.16 across 3 records.

Reporting-company totals

  • Bard Peripheral Vascular, Inc.: $24.86 across 1 record.
  • Novartis Pharmaceuticals Corporation: $19.32 across 1 record.
  • Amgen Inc.: $17.98 across 1 record.

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 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2022

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Saebom 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 Saebom 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 Lake Oswego and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 80% of clinicians listed under Nurse Practitioner - Primary Care in Oregon (2024, 38 clinicians with data). Median for this group: 215. Middle half: 82 to 514.

Too few clinicians listed under Nurse Practitioner - Primary Care in Lake Oswego have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 75% of clinicians listed under Nurse Practitioner - Primary Care in Oregon (2024, 38 clinicians with data). Median for this group: $16,309. Middle half: $6,910 to $42,389.

Too few clinicians listed under Nurse Practitioner - Primary Care in Lake Oswego have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 80% of clinicians listed under Nurse Practitioner - Primary Care in Oregon (2024, 38 clinicians with data). Median for this group: $11,951. Middle half: $4,869 to $31,567.

Too few clinicians listed under Nurse Practitioner - Primary Care in Lake Oswego have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 70% of clinicians listed under Nurse Practitioner - Primary Care in Oregon (2024, 48 clinicians with data). Median for this group: 597. Middle half: 109 to 3,050.

Too few clinicians listed under Nurse Practitioner - Primary Care in Lake Oswego have Medicare Part D data for 2024 to compare.

Part D drug cost

Close to the middle for clinicians listed under Nurse Practitioner - Primary Care in Oregon (2024, 48 clinicians with data). Median for this group: $36,334. Middle half: $1,397 to $164,285.

Too few clinicians listed under Nurse Practitioner - Primary Care in Lake Oswego have Medicare Part D data for 2024 to compare.

1 active clinicians are listed under Nurse Practitioner - Primary Care with a practice address in Lake Oswego, OR (108 in Oregon).

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

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, 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 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $62.16.

Manufacturer Payment Nature Product Type Amount ($)
Bard Peripheral Vascular, Inc.
Food and Beverage
In-kind items and services
โ€” General $24.86
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
LEQVIO General $19.32
Amgen Inc.
Food and Beverage
In-kind items and services
Repatha General $17.98

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 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, 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
31231 Diagnostic exam of nasal passages using an endoscope
202 202 $459.00 $45.39
69210 Removal of impacted ear wax
194 194 $117.00 $14.54
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
122 122 $324.00 $110.92
99306 Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more
62 62 $442.00 $149.78
31525 Diagnostic exam of voice box using an endoscope
59 59 $611.00 $129.90
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
42 42 $195.00 $66.45

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
Eliquis Apixaban 25 1,393 $26,740.79 12
Losartan Potassium Losartan Potassium 24 2,100 $105.03 13
Atorvastatin Calcium Atorvastatin Calcium 23 2,070 $139.78 14
Clopidogrel Clopidogrel Bisulfate 16 1,313 $142.18 12
Rosuvastatin Calcium Rosuvastatin Calcium 14 1,140 $215.93 โ€”
Metoprolol Tartrate Metoprolol Tartrate 12 1,080 $52.19 โ€”
Nexletol Bempedoic Acid 12 660 $8,815.51 โ€”
Atenolol Atenolol 11 896 $49.84 โ€”
Metoprolol Succinate Metoprolol Succinate 11 990 $114.07 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: 2026-08-18
Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

License # reported to NPPES OR 10014088
Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

License # reported to NPPES WA AP61683297
Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES FL 11022905

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

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: Oregon 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

ORDER AND REFERRING ONLY - NURSE PRACTITIONER

Medicare Enrollment ID

I20250716003068

Enrollment State Jurisdiction

OR

PECOS Control ID

8426599788

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.

Clinicians Sharing This Practice Address or Phone

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

4 listed
Marilyn Dunning , FNP

Nurse Practitioner

NPI 1518609122

Family Nurse Practitioner

Jared Martin , NP

Nurse Practitioner - Family

NPI 1336485259

Nurse Practitioner

Tanya Neely

Nurse Practitioner - Family

NPI 1760008908
Courtney Summerskill , ARNP

Nurse Practitioner - Family

NPI 1528439916

Advanced Registered Nurse Practitioner

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 August 18, 2026

Registered at 4550 KRUSE WAY STE 125, LAKE OSWEGO, OR 970353533 (Tel: 5037012490)

๐Ÿ“
Updated Business Mailing Address August 18, 2026

Registered at 4550 KRUSE WAY STE 125, LAKE OSWEGO, OR 970353533 (Tel: 9718038383)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2026

Nurse Practitioner (license number reported to NPPES: OR 10014088)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 04, 2023

Nurse Practitioner (license number reported to NPPES: FL 11022905)

โœ…
NPI Profile Active November 01, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 01, 2022

Registered at 2170 W STATE ROAD 434 STE 190, LONGWOOD, FL 327794976 (Tel: 4079901921)

๐Ÿ“
Business Mailing Address (Initial Record) November 01, 2022

Registered at 112 ESSEX AVE APT 15A, ALTAMONTE SPRINGS, FL 327014516 (Tel: 9718038383)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 01, 2022

Recorded as SAEBOM KIM, APRN

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2022

Nurse Practitioner (license number reported to NPPES: FL F10221104)

๐ŸŸข
Initial NPI Registration & Enumeration November 01, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1861109555
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2022
Last Update: August 18, 2026
Sole Proprietor: Yes

Mailing Address

4550 Kruse Way Ste 125

Lake Oswego, OR 970353533

Phone: 9718038383

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.