JESSICA G. KINGSBERG (M.D.) – Orthopaedic Surgery Physician, NPI 1891016598
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,024 ORTHOPEDIC SURGERY in CA
Provider Addresses for JESSICA G. KINGSBERG (M.D.)
25455 BARTON RD STE 102B
LOMA LINDA, CA 923543139
Phone: (909) 558-2808
Type: Location
2020 PALOMINO LN STE 110
LAS VEGAS, NV 891064892
Phone: (702) 474-7200
Fax: (702) 474-0009
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $2,151.
Total Amount is formed as General ($2,151) + Research ($0) + Ownership ($0) = $2,151.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ACUMED LLC ($852).
Total Amount
$2,151
General + Research + Ownership
Payments
26
Total payment records
General Amount
$2,151
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ACUMED LLC | $852 |
| Stryker Corporation | $643 |
| Acera Surgical, Inc. | $121 |
| Globus Medical, Inc. | $120 |
| Goode Surgical Inc | $105 |
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: 2025-09-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20161130002066 | I | Orthopedic Surgery | NV | TBD |
| I20250919003565 | I | Orthopedic Surgery | CA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 154 | 78 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 119 | 118 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 73 | 33 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 45 | 45 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 40 | 15 | $0 |
Insurance plans in this area (ZIP 92354)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Physician Assistant | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Critical Care (Intensivists), General Surgery | CA | |
| Surgical Oncology, General Surgery | IL | |
| A N E S T H E S I O L O G Y | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA |
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