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DR. THOMAS T KIM DMD
NPI 1265699565
Dentist - General Practice in Leesburg, FL

Active since May 22, 2008Opted out of Medicare · through Mar 25, 2027
2225 NORTH CITRUS BLVD, LEESBURG, FL 34748(352) 728-1100(352) 728-3373 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas T Kim Dmd NPPES

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

DR. THOMAS T KIM DMD (NPI 1265699565) is an individual general practice provider in Leesburg, Florida, licensed in Florida (16373) and active in the NPI registry since May 2008. He has opted out of Medicare through March 25, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265699565
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOMAS T KIMCredential: DMD
Location Address2225 NORTH CITRUS BLVDLeesburg, FL 34748
Mailing Address2225 North Citrus BlvdLeesburg, FL 34748 · (352) 728-1100 · Fax (352) 728-3373
Phone(352) 728-1100
Fax(352) 728-3373
Sole ProprietorYes
Enumeration DateMay 22, 2008
✔ NPI 1265699565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · 16373
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2225 NORTH CITRUS BLVD, Leesburg, FL 34748
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Thomas T Kim Dmd 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 March 25, 2021 through March 25, 2027.

Opt-Out Effective DateMarch 25, 2021
Opt-Out In Effect ThroughMarch 25, 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 34748 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Thomas Kim's NPI number?

The NPI number for Thomas Kim is 1265699565. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Thomas Kim located?

Thomas Kim practices at 2225 North Citrus Blvd, Leesburg, FL 34748. The listed phone number is (352) 728-1100.

What is Thomas Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Thomas Kim enrolled in Medicare?

No. Thomas Kim has opted out of Medicare through March 25, 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 Thomas Kim accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 6 other insurers list Thomas 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 Thomas Kim was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.