Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Daniel Byeongheui Kim , MD

Surgery - Vascular Surgery โ€ข Everett, WA

Active NPI 1639513229 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

1330 Rockefeller Ave Ste 520
Everett, WA 982011677

Call 4252975200 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

1330 Rockefeller Ave Ste 520

Everett, WA 982011677

Telephone 4252975200
Fax 4252598600
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Boston, MA. See the list

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

CMS Doctors and Clinicians lists 1 group name: Providence Health And Services- Washington. 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

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

2013

Medicare patients

465 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 $47,199 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 $34,203 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

82 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

$300 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: $2,399.03 across 17 records.

By nature of payment

  • Travel and Lodging: $1,294.39 across 3 records.
  • Food and Beverage: $1,104.64 across 14 records.

Reporting-company totals (3 largest of 7)

  • Smith+Nephew, Inc.: $1,801.58 across 7 records.
  • Shockwave Medical, Inc: $266.98 across 3 records.
  • Medtronic, Inc.: $185.58 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

13 years (graduated 2013)

CMS Doctors and Clinicians data list 2013 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

2013

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

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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)

Dr. 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 Dr. 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 Everett and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Surgery - Vascular Surgery in Washington (2024, 87 clinicians with data). Median for this group: 549. Middle half: 332 to 1,087.

Too few clinicians listed under Surgery - Vascular Surgery in Everett have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Surgery - Vascular Surgery in Washington (2024, 87 clinicians with data). Median for this group: $59,693. Middle half: $28,858 to $120,768.

Too few clinicians listed under Surgery - Vascular Surgery in Everett have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 60% of clinicians listed under Surgery - Vascular Surgery in Washington (2024, 87 clinicians with data). Median for this group: $44,408. Middle half: $22,459 to $92,742.

Too few clinicians listed under Surgery - Vascular Surgery in Everett have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Surgery - Vascular Surgery in Washington (2024, 73 clinicians with data). Median for this group: 74. Middle half: 31 to 180.

Too few clinicians listed under Surgery - Vascular Surgery in Everett have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 70% of clinicians listed under Surgery - Vascular Surgery in Washington (2024, 73 clinicians with data). Median for this group: $1,329. Middle half: $280 to $17,879.

Too few clinicians listed under Surgery - Vascular Surgery in Everett have Medicare Part D data for 2024 to compare.

10 active clinicians are listed under Surgery - Vascular Surgery with a practice address in Everett, WA (131 in Washington).

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 (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
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 17 records totaling $2,399.03.

Manufacturer Payment Nature Product Type Amount ($)
Smith+Nephew, Inc.
Travel and Lodging
In-kind items and services
PICO General $585.42
Smith+Nephew, Inc.
Travel and Lodging
In-kind items and services
PICO General $507.95
Smith+Nephew, Inc.
Travel and Lodging
In-kind items and services
PICO General $201.02
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
PICO General $189.47
Medtronic, Inc.
Food and Beverage
In-kind items and services
UNID_PASS General $166.08
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
PICO General $162.35
Shockwave Medical, Inc
Food and Beverage
In-kind items and services
Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter General $156.31
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
PICO General $85.44
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
PICO General $69.93
Stryker Corporation
Food and Beverage
In-kind items and services
FLOWTRIEVER CATHETER, S General $59.86
Shockwave Medical, Inc
Food and Beverage
In-kind items and services
Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter General $59.03
Shockwave Medical, Inc
Food and Beverage
In-kind items and services
Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter General $51.64
Terumo Medical Corporation
Food and Beverage
In-kind items and services
TR BAND General $24.82
Terumo Medical Corporation
Food and Beverage
In-kind items and services
TR BAND General $23.85
W. L. Gore & Associates, Inc.
Food and Beverage
In-kind items and services
GORE VIABAHN VBX Balloon Expandable Endo General $19.55
Medtronic, Inc.
Food and Beverage
In-kind items and services
ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY General $19.50
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Varithena Administration Pack General $16.81

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
93971 Ultrasound study of one arm or leg veins with compression and maneuvers
103 102 $65.00 $20.10
93970 Ultrasound study of arm or leg veins with compression and maneuvers
77 74 $101.00 $31.54
93880 Ultrasound of both sides of head and neck blood flow
67 65 $117.00 $36.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
36 33 $546.00 $179.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
34 34 $508.00 $166.09
93922 Ultrasound study of arm and leg arteries
32 31 $38.00 $11.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
32 32 $670.00 $218.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
32 30 $391.00 $127.60
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
29 29 $276.00 $90.81
93926 Ultrasound of one leg arteries or artery grafts
24 23 $69.00 $22.22
93990 Ultrasound of hemodialysis access
23 20 $72.00 $22.30
93925 Ultrasound of leg arteries or artery grafts
22 20 $114.00 $36.34
36821 Relocation of arm vein with connection to arm artery for hemodialysis
17 17 $1716.08 $485.93
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
17 17 $116.00 $35.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
16 15 $528.00 $169.07
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow
12 12 $169.00 $53.23

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
Clopidogrel Clopidogrel Bisulfate 41 1,470 $228.55 14
Oxycodone Hcl Oxycodone Hcl 33 99 $71.52 29

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: 2021-09-16
Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

License # reported to NPPES WA MD61068288

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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: Washington State Department of Health Provider Lookup.
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 - VASCULAR SURGERY

Medicare Enrollment ID

I20200824000240

Enrollment State Jurisdiction

WA

PECOS Control ID

9537309448

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

Providence Health And Services- Washington

1321 Colby Ave, Everett, WA 982011665

Phone: 4252612000

Providence Health And Services- Washington

1330 Rockefeller Ave, Everett, WA 982011677

Providence Health And Services- Washington

4112 Harbour Pointe Blvd Sw, Mukilteo, WA 982755457

Phone: 4253476330

Providence Health And Services- Washington

1321 Colby Ave, Everett, WA 982011665

Phone: 4252975234

Secondary Practice Locations

55 Fruit St

Boston, MA 02114

Phone: 8776448346

Clinicians Sharing This Practice Address or Phone

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

18 listed
Dr. Dharscika Arudkumaran , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1396199071

Doctor of Medicine (M.D.)

Dr. Peter Bartline , MD

Surgery - Vascular Surgery

NPI 1902121635

Doctor of Medicine (M.D.)

Dr. Peter Brant-Zawadzki , MD

Surgery - Vascular Surgery

NPI 1215134697

Doctor of Medicine (M.D.)

Dr. Rolando Celis Valdiviezo , MD

Surgery - Vascular Surgery

NPI 1497975361

Doctor of Medicine (M.D.)

Dr. Jonathan Cheng , MD

Internal Medicine

NPI 1417697913

Doctor of Medicine (M.D.)

Dr. Robert Defrang , MD

Surgery - Vascular Surgery

NPI 1649257692

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
๐Ÿ“
Updated Practice Location September 16, 2021

Registered at 1330 ROCKEFELLER AVE STE 520, EVERETT, WA 982011677 (Tel: 4252975200)

๐Ÿ“
Updated Business Mailing Address September 16, 2021

Registered at 1330 ROCKEFELLER AVE STE 520, EVERETT, WA 982011677 (Tel: 8776448346)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2021

Surgery (license number reported to NPPES: WA MD61068288)

๐Ÿ“
Updated Practice Location August 15, 2018

Registered at 55 FRUIT ST, BOSTON, MA 02114 (Tel: 8776448346)

๐Ÿ“
Updated Business Mailing Address August 15, 2018

Registered at 55 FRUIT ST, BOSTON, MA 021142621 (Tel: 8776448346)

๐Ÿ‘ค
Provider Name / Credentials Updated August 15, 2018

Recorded as DANIEL KIM, MD

โœ…
NPI Profile Active April 25, 2013

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 25, 2013

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049542000)

๐Ÿ“
Business Mailing Address (Initial Record) April 25, 2013

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049542000)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 25, 2013

Recorded as DANIEL KIM

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2013

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration April 25, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639513229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2013
Last Update: September 16, 2021
Sole Proprietor: No

Other Surgery - Vascular Surgery Specialists in Everett

Healthcare providers in Everett

Mailing Address

1330 Rockefeller Ave Ste 520

Everett, WA 982011677

Phone: 8776448346

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.