KIMBERLY GORMAN (PA-C) – Physician Assistant, NPI 1376911453
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in VA
Provider Addresses for KIMBERLY GORMAN (PA-C)
4500 SAN PABLO RD S
JACKSONVILLE, FL 322241865
Phone: (904) 953-2000
Type: Mailing
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND, DE 197320191
Phone: (302) 651-6212
Fax: (302) 695-4945
Type: Mailing
4660 KENMORE AVE STE 810
ALEXANDRIA, VA 223041300
Phone: (703) 823-0333
Fax: (703) 823-8611
Type: Location
4660 Kenmore Ave Ste 810
Alexandria, VA 223041300
Phone: (703) 823-0333
Fax: (703) 823-8611
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $269.
Total Amount is formed as General ($269) + Research ($0) + Ownership ($0) = $269.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($269).
Total Amount
$269
General + Research + Ownership
Payments
15
Total payment records
General Amount
$269
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $269 |
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: 2017-05-30
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20151209001563 | I | Physician Assistant | FL | TBD |
| I20170530002257 | I | Physician Assistant | VA | 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 |
|---|---|---|---|---|
| 36589 | Removal of tunneled central venous tube | 58 | 55 | $0 |
| 49082 | Drainage of fluid from abdominal cavity | 30 | 27 | $0 |
| 76705 | Limited ultrasound scan of abdomen | 29 | 26 | $0 |
| 76604 | Ultrasound scan of chest | 20 | 15 | $0 |
| 32554 | Aspiration of fluid from chest cavity | 19 | 14 | $0 |
Insurance plans in this area (ZIP 32224)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Orthopedic Surgery | FL | |
| Internal Medicine | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
Reviews
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