DR. KATELYN MARIKO KIM MD
NPI 1487159596
Dermatology in Cary, NC
About Dr. Katelyn Mariko Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATELYN MARIKO KIM MD (NPI 1487159596) is an individual dermatology provider in Cary, North Carolina, licensed in North Carolina (2022-02027) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Katelyn Mariko Kim Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Katelyn Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chapel Hill, NC 27517
- Reassigned Medicare billing, North Carolina enrollment
- 23 clinicians in this Medicare group
Winston Salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 55 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 13
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27513 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARY, NC 27513
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 Katelyn Kim's NPI number?
The NPI number for Katelyn Kim is 1487159596. It was assigned to this individual provider in the NPPES registry on March 29, 2018. The provider is also known as Katelyn Mariko Updyke.
Where is Katelyn Kim located?
Katelyn Kim practices at 110 Preston Executive Dr Ste 100, Cary, NC 27513. The listed phone number is (919) 653-1344.
What is Katelyn Kim's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Katelyn Kim enrolled in Medicare?
Yes. Katelyn Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Katelyn Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Kim reassigns Medicare benefits to 2 organizations: Central Dermatology Center, PA (Chapel Hill, NC) and Skin Surgery Center PA (Winston Salem, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelyn Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katelyn Kim accept?
Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Katelyn 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 Katelyn Kim was last updated on October 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Katelyn Mariko Kim, MD · NPI 1487159596
Dermatology physician in Cary, North Carolina. Individual provider, active in the CMS NPPES registry since March 29, 2018.
## Identity
- **NPI:** 1487159596 (Entity type: Individual)
- **Enumerated:** March 29, 2018
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 2022-02027 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 PRESTON EXECUTIVE DR STE 100, Cary, NC 27513-8447
- **Phone:** (919) 653-1344
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Central Dermatology Center, PA (NPI 1568424299, Chapel Hill, NC); Skin Surgery Center PA (NPI 1649237082, Winston Salem, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 29, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1487159596) · Data from the CMS NPPES public registry.