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Deactivated NPI 1871586792 Deactivated / Inactive NPI Male Practitioner

Dr. Do-Kyun Kyle Kim , MD

Neurological Surgery • Seattle, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Do-Kyun Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 25, 2005
NPI Deactivation Date April 24, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Do-Kyun Kim, MD was a registered Neurological Surgery practicing in Seattle, WA. Throughout an active medical career spanning 20 years, Dr. Kim provided care at the practice location at 801 BROADWAY until profile deactivation on 2025-04-24.

Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit, insertion of cage or mesh device to spine bone and disc space during spine fusion. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

801 Broadway
Suite 617

Seattle, WA 981224396

Telephone 2066230922
Fax 2066231588
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.1 Yrs
State Avg: 24.6 Yrs
Regional Practice Density
131 Specialists

Practicing in Seattle, WA (239 Statewide)

Telehealth Adoption Rate
33.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
69 69 $329.00 $171.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
49 42 $214.00 $116.32
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion
48 33 $826.00 $272.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
45 45 $214.00 $115.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
28 23 $290.00 $153.57
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves
23 22 $3353.00 $800.01
20939 Harvest of bone marrow for spine surgery graft
18 18 $210.00 $72.33
63048 Partial removal of spine bone with release of spinal cord and/or nerves
17 12 $612.00 $229.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
17 17 $416.00 $220.88
22840 Placement of stabilizing device to back of 1 spine bone in neck
14 14 $2245.00 $767.01
22842 Placement of stabilizing device to back, 3-6 spine bone segments
14 14 $2249.00 $830.21
22325 Open treatment of broken and/or dislocated lower spine bones
12 12 $3887.00 $726.17
61783 Computer-assisted spinal procedure
12 12 $755.00 $252.08
22633 Fusion of spine in lower back with partial removal of spine bone and disc
12 12 $5926.00 $1800.14
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc
12 12 $5520.00 $1629.45
22845 Placement of stabilizing device to front, 2-3 spine bone segments
11 11 $2155.00 $792.53

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License WA MD00029378

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Jeffrey Garr , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1023087780

Doctor of Medicine (M.D.)

Sonni Simerly , PA-C

Physician Assistant - Surgical

NPI 1184982407

Physician Assistant (Certified)

Dr. James Raisis , MD

Neurological Surgery

NPI 1396701025

Doctor of Medicine (M.D.)

Dr. Jayashree Srinivasan , MD

Neurological Surgery

NPI 1407812134

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 24, 2025

Record deactivated on April 24, 2025

NPI Profile Active October 17, 2016

NPI status registered as active in NPPES database

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Updated Practice Location October 17, 2016

Registered at 801 BROADWAY, SUITE 617, SEATTLE, WA 981224396 (Tel: 2066230922)

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Updated Business Mailing Address October 17, 2016

Registered at 805 MADISON ST, SUITE 901, SEATTLE, WA 981041172 (Tel: 2062648100)

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Provider Name / Credentials Updated October 17, 2016

Recorded as DO-KYUN KIM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2016

Neurological Surgery (License #MD00029378 in WA)

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Initial NPI Registration & Enumeration August 25, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871586792
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2005
Last Update: October 17, 2016
Deactivation Date: April 24, 2025

Mailing Address

805 Madison St, Suite 901

Seattle, WA 981041172

Phone: 2062648100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.