DR. KIMBERLEY DORENE EVANS (M.D.) – Geriatric Medicine (Internal Medicine) Physician, NPI 1396840500

DR. KIMBERLEY DORENE EVANS (M.D.) is a healthcare provider. based in Clearwater, Florida. specializing in GERIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME0085477 (FL). The NPI Number for DR. KIMBERLEY DORENE EVANS (M.D.) is 1396840500

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLEY DORENE EVANS (M.D.)
NPI
1396840500
Phone
(727) 939-6196
Address
1227 S MYRTLE AVE
Enumeration Date
13 September 2006
Last Update Date
22 June 2014

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
7272665449
Graduation Year
1998 (28 years ago)
PAC ID
0345375218
Group Practice PAC ID
7618397886
Professional Enrollment ID
I20100317000552
Address ID
FL337613167CL2655XRDXX304
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

358 GERIATRIC MEDICINE in FL

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Provider Addresses for DR. KIMBERLEY DORENE EVANS (M.D.)

  • 1227, South Myrtle Avenue, Clearwater, Pinellas County, Florida, 33756, United States

    CLEARWATER, FL 337563469

    Phone: (727) 939-6196

    Fax: (727) 350-9396

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-02-09 • Largest payer in this snapshot: Ipsen Biopharmaceuticals, Inc ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-09

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: 2010-03-17

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
I20100317000552IInternal MedicineFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1,015395$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit139139$0
99204New patient office or other outpatient visit, 45-59 minutes8989$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and5639$0
99213Established patient office or other outpatient visit, 20-29 minutes4226$0
View full utilization report →

Insurance plans in this area (ZIP 33756)

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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: 7618397886View full group profile
NameSpecialtyState
Family PracticeFL
Internal MedicineFL
Nurse PractitionerFL
Internal Medicine, Geriatric MedicineFL
Physician AssistantFL
Family PracticeFL
Family PracticeFL
Nurse PractitionerFL
Internal MedicineNY
Internal MedicineFL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KIMBERLEY DORENE EVANS (M.D.)?
NPI 1396840500 is assigned to DR. KIMBERLEY DORENE EVANS (M.D.) under the national enumeration system.
Is DR. KIMBERLEY DORENE EVANS (M.D.) active in the national directory?
DR. KIMBERLEY DORENE EVANS (M.D.)'s public NPI profile is in an active state.
What field does DR. KIMBERLEY DORENE EVANS (M.D.) work in?
You can think of DR. KIMBERLEY DORENE EVANS (M.D.) as practicing within Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where is DR. KIMBERLEY DORENE EVANS (M.D.)'s primary listing?
We display Clearwater, Florida because that is what the record indicates for DR. KIMBERLEY DORENE EVANS (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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