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DR. RICHARD HYUNGSANG KIM D.D.S., M.D.
NPI 1003977653
Dentist - Oral and Maxillofacial Surgery in Mankato, MN

Active since December 13, 2006Opted out of Medicare · through Jul 2, 2027
1990 PREMIERE DR, MANKATO, MN 56001(507) 625-9330(507) 625-1440 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard Hyungsang Kim D.d.s., M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD HYUNGSANG KIM D.D.S., M.D. (NPI 1003977653) is an individual oral and maxillofacial surgery provider in Mankato, Minnesota, licensed in Minnesota (D11363) and active in the NPI registry since December 2006. He has opted out of Medicare through July 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003977653
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. RICHARD HYUNGSANG KIMCredential: D.D.S., M.D.
Location Address1990 PREMIERE DRMankato, MN 56001-5900
Mailing Address1990 Premiere DrMankato, MN 56001-5900 · (507) 625-9330 · Fax (507) 625-1440
Phone(507) 625-9330
Fax(507) 625-1440
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003977653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in MN · D11363✔ Licensed in MN · 100680
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1990 PREMIERE DR, Mankato, MN 56001
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Other Identifiers 2

Other355K4KIMN · Blue Cross
Medicare UPINU81863

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Richard Hyungsang Kim D.d.s., M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 2, 2015 through July 2, 2027.

Opt-Out Effective DateJuly 2, 2015
Opt-Out In Effect ThroughJuly 2, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD KEVIN MARLOW D.M.D.
Dentist (Oral and Maxillofacial Surgery)
1990 PREMIERE DR
MANKATO, MN 56001
Blue Earth County (507) 625-9330
ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, P.A.
Dentist (Oral and Maxillofacial Surgery)
1990 PREMIERE DR
MANKATO, MN 56001
Blue Earth County (507) 625-9330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Kim's NPI number?

The NPI number for Richard Kim is 1003977653. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Richard Kim located?

Richard Kim practices at 1990 Premiere Dr, Mankato, MN 56001. The listed phone number is (507) 625-9330.

What is Richard Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Richard Kim enrolled in Medicare?

No. Richard Kim has opted out of Medicare through July 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Richard Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Richard Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.