KIMBERLY CARLSON (PA-C) – Physician Assistant, NPI 1265054431
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,166 PHYSICIAN ASSISTANT in CO
Provider Addresses for KIMBERLY CARLSON (PA-C)
10807 NEW ALLEGIANCE DR STE 450
COLORADO SPRINGS, CO 809213722
Phone:
Type: Mailing
2519 LELARAY ST
COLORADO SPRINGS, CO 809092404
Phone: (727) 254-0089
Type: Mailing
8580 SCARBOROUGH DR STE 225
COLORADO SPRINGS, CO 809207586
Phone: (719) 531-5400
Type: Location
1220 Lake Plaza Dr
Colorado Springs, CO 809063548
Phone: (719) 531-5400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $1,399.
Total Amount is formed as General ($1,399) + Research ($0) + Ownership ($0) = $1,399.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: ABBVIE INC. ($282).
Total Amount
$1,399
General + Research + Ownership
Payments
41
Total payment records
General Amount
$1,399
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $282 |
| UCB, Inc. | $251 |
| Regeneron Healthcare Solutions, Inc. | $192 |
| GENZYME CORPORATION | $184 |
| Galderma Laboratories, L.P. | $85 |
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: 2021-12-06
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 |
|---|---|---|---|---|
| I20211206000958 | I | Physician Assistant | CO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80921)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CO | |
| Physician Assistant | CO | |
| Physician Assistant | TX | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Physician Assistant | NY | |
| Physician Assistant | CO | |
| D E R M A T O L O G Y | TX |
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