KIMBERLY ANNE EVANS (MD) – Surgery Physician, NPI 1457518946

KIMBERLY ANNE EVANS (MD) is a healthcare provider. based in South lake tahoe, California. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 14825 (NV). The NPI Number for KIMBERLY ANNE EVANS (MD) is 1457518946

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ANNE EVANS (MD)
NPI
1457518946
Phone
(530) 543-5659
Address
1111 EMERALD BAY RD
Enumeration Date
21 May 2008
Last Update Date
17 March 2022

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
5305435691
Graduation Year
2008 (18 years ago)
PAC ID
5890926109
Group Practice PAC ID
5395127682
Professional Enrollment ID
I20140331001487
Address ID
CA961503465SO1139XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

3,317 GENERAL SURGERY in CA

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Provider Addresses for KIMBERLY ANNE EVANS (MD)

  • 1111, Emerald Bay Road, Tahoe Valley, South Lake Tahoe, El Dorado County, California, 96150, United States

    SOUTH LAKE TAHOE, CA 961506207

    Phone: (530) 543-5659

    Fax: (530) 541-8723

    Type: Mailing

  • South Lake Tahoe, El Dorado County, California, United States

    SOUTH LAKE TAHOE, CA 961503412

    Phone: (530) 543-5691

    Fax: (530) 542-2872

    Type: Location

  • 1139 3RD ST

    SOUTH LAKE TAHOE, CA 961503465

    Phone: (530) 543-5691

    Fax: (530) 542-2872

    Type: Location

  • 2170 SOUTH AVE

    SOUTH LAKE TAHOE, CA 961507026

    Phone: (530) 543-5691

    Fax: (530) 542-2872

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $704.

Total Amount is formed as General ($704) + Research ($0) + Ownership ($0) = $704.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($531).

Total Amount

$704

General + Research + Ownership

Payments

9

Total payment records

General Amount

$704

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-03-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140331001487IGeneral SurgeryCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8760$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6331$0
45380Biopsy of large bowel using a flexible endoscope4949$0
99203New patient office or other outpatient visit, 30-44 minutes3939$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare3332$0
View full utilization report →

Insurance plans in this area (ZIP 96150)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395127682View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Critical Care (Intensivists), Emergency MedicineNV
Family PracticeCA
Family PracticeCA
P S Y C H I A T R YCA
Critical Care (Intensivists), Emergency Medicine, Emergency MedicineCA
O T O L A R Y N G O L O G YPA
U R O L O G YCA
Internal MedicineCA

Reviews

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Frequently asked questions

Is KIMBERLY ANNE EVANS (MD) listed with a National Provider Identifier?
Yes — KIMBERLY ANNE EVANS (MD) has NPI 1457518946 on file in the registry.
Is KIMBERLY ANNE EVANS (MD) shown as active in public data?
Registry records indicate KIMBERLY ANNE EVANS (MD) maintains an active NPI.
What expertise is attributed to KIMBERLY ANNE EVANS (MD)?
KIMBERLY ANNE EVANS (MD)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KIMBERLY ANNE EVANS (MD)?
Travel planning: use South Lake Tahoe, California as the reference point for KIMBERLY ANNE EVANS (MD), then confirm.
Does KIMBERLY ANNE EVANS (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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