DR. KATELYN MARIKO KIM MD
NPI 1487159596
Dermatology in Cary, NC

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
92.15/100
CMS Quality Rating
110 PRESTON EXECUTIVE DR STE 100, CARY, NC 27513(919) 653-1344 Get Directions Write a Review

NPPES record last updated: October 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 29, 2023, Mar 29, 2018 (2 updates tracked since 2018).

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

NPI1487159596
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. KATELYN MARIKO KIMCredential: MD
Location Address110 PRESTON EXECUTIVE DR STE 100Cary, NC 27513-8447
Mailing Address110 Preston Executive Dr Ste 100Cary, NC 27513-8447 · (919) 653-1344
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 29, 2018
Last NPPES UpdateOctober 29, 20232 updates tracked since enumeration
NPPES CertifiedOctober 29, 2023
NPI 1487159596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NC · 2022-02027
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
110 PRESTON EXECUTIVE DR STE 100, Cary, NC 27513

Other Names 1

Former Name (1)Katelyn Mariko Updyke

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID2567704158
PECOS Enrollment IDI20220815002547
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
643 services137 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
410 services292 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
287 services200 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
218 services187 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
215 services148 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
190 services125 patients

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.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

92.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.88
Promoting Interoperability100
Improvement Activities40
Cost91.96

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
110 PRESTON EXECUTIVE DR STE 100
CARY, NC 27513
Dermatology (MOHS-Micrographic Surgery)
110 PRESTON EXECUTIVE DR STE 100
CARY, NC 27513
Dermatology
110 PRESTON EXECUTIVE DR STE 100
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.

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 2 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.