DR. KIMBERLY ANN FUNCHES-JACKSON (M.D.) – Family Medicine Physician, NPI 1497705123
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,754 FAMILY PRACTICE in AL
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Provider Addresses for DR. KIMBERLY ANN FUNCHES-JACKSON (M.D.)
Phenix City Post Office, 13th Street, Snow Valley Residential Historic District, Phenix City, Russell County, Alabama, 31901, United States
PHENIX CITY, AL 368681045
Phone: (334) 291-5255
Type: Mailing
1810, Stadium Drive, Carriage Hill, Phenix City, Russell County, Alabama, 36867, United States
SUITE 210
PHENIX CITY, AL 368673177
Phone: (334) 297-1085
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $453.
Total Amount is formed as General ($453) + Research ($0) + Ownership ($0) = $453.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($104).
Total Amount
$453
General + Research + Ownership
Payments
23
Total payment records
General Amount
$453
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-04-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070404000508 | I | Family Practice | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 731 | 142 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 363 | 80 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 200 | 31 | $0 |
| 83036 | Hemoglobin a1c level | 200 | 77 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 140 | 56 | $0 |
Insurance plans in this area (ZIP 36868)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | AL | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 17 | 17 |
| FAMILY MEDICINE | AL | 94727 | Determination of lung volumes using gas dilution or washout | 11 | 11 |
| FAMILY MEDICINE | AL | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 1800 | 25 |
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