JON POTTER KIMBALL (MD) – Orthopaedic Surgery Physician, NPI 1205917374
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,126 ORTHOPEDIC SURGERY in NC
Provider Addresses for JON POTTER KIMBALL (MD)
1988, Gulf to Bay Boulevard, Clearwater, Pinellas County, Florida, 33765, United States
CLEARWATER, FL 337653550
Phone: (727) 953-8090
Fax: (727) 953-8088
Type: Mailing
120 William Penn Plz
Durham, NC 277042150
Phone: (919) 220-5255
Fax: (919) 313-1276
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $422.
Total Amount is formed as General ($422) + Research ($0) + Ownership ($0) = $422.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($175).
Total Amount
$422
General + Research + Ownership
Payments
11
Total payment records
General Amount
$422
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
| Company | Amount |
|---|---|
| Relievant Medsystems, Inc. | $175 |
| Medtronic, Inc. | $122 |
| Boston Scientific Corporation | $49 |
| Abbott Laboratories | $44 |
| Theragen, Inc. | $18 |
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: 2011-04-15
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 |
|---|---|---|---|---|
| I20110415000206 | I | Orthopedic Surgery | FL | 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 | 70 | 43 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 49 | 33 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 47 | 47 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 20 | 17 | $0 |
| 27096 | Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 14 | 12 | $0 |
Insurance plans in this area (ZIP 33765)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | NC | 20610 | Aspiration and/or injection of large joint or joint capsule | 162 | 153 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | TX | |
| Nurse Practitioner | FL | |
| - | FL | |
| Orthopedic Surgery | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Orthopedic Surgery, Sports Medicine | FL | |
| N E U R O S U R G E R Y | FL |
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