SHANE P KIMBALL (D.O.) – Nephrology Physician, NPI 1396747606
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
99 NEPHROLOGY in AR
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Provider Addresses for SHANE P KIMBALL (D.O.)
Baptist Health Drive, Little Rock, Pulaski County, Arkansas, 772211, United States
LITTLE ROCK, AR 722056399
Phone: (501) 224-2141
Fax: (501) 224-0506
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $109.
Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($38).
Total Amount
$109
General + Research + Ownership
Payments
7
Total payment records
General Amount
$109
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
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: 2008-05-20
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 |
|---|---|---|---|---|
| I20080520000372 | I | Nephrology | AR | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 688 | 187 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 489 | 167 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 343 | 220 | $0 |
| 90970 | Dialysis services, per day, less than full month service (20 years or older) | 297 | 13 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 271 | 65 | $0 |
Insurance plans in this area (ZIP 72205)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | AR | 90935 | Hemodialysis procedure with one physician evaluation | 97 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | AR | |
| N E P H R O L O G Y | AR | |
| Nurse Practitioner | AR | |
| N E P H R O L O G Y | AR |
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