DR. JAMES R JR. KIMBERLY (M.D.) – Gastroenterology Physician, NPI 1528240199

DR. JAMES R JR. KIMBERLY (M.D.) is a healthcare provider. based in Orange park, Florida. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME 101619 (FL). The NPI Number for DR. JAMES R JR. KIMBERLY (M.D.) is 1528240199

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES R JR. KIMBERLY (M.D.)
NPI
1528240199
Phone
(904) 264-9797
Address
1883 KINGSLEY AVE
Enumeration Date
5 December 2007
Last Update Date
24 May 2011

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9043987205
Graduation Year
1995 (31 years ago)
PAC ID
1355416215
Group Practice PAC ID
6507761301
Professional Enrollment ID
I20080812000877
Address ID
FL322566004JA4800XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,475 GASTROENTEROLOGY in FL

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Provider Addresses for DR. JAMES R JR. KIMBERLY (M.D.)

  • 1883, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States

    STE 1100

    ORANGE PARK, FL 320734479

    Phone: (904) 264-9797

    Fax: (904) 264-4644

    Type: Location

  • 4800, Belfort Road, Jacksonville, Duval County, Florida, 32256, United States

    JACKSONVILLE, FL 322566004

    Phone: (904) 398-3262

    Fax: (904) 265-4807

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 219 Open Payments records for all available years, with a total value of $4,173.

Total Amount is formed as General ($4,173) + Research ($0) + Ownership ($0) = $4,173.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($1,313).

Total Amount

$4,173

General + Research + Ownership

Payments

219

Total payment records

General Amount

$4,173

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2008-08-12

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
I20080812000877IGastroenterologyFLTBD

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 minutes337249$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare145144$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope121120$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11966$0
99204New patient office or other outpatient visit, 45-59 minutes9494$0
View full utilization report →

Insurance plans in this area (ZIP 32073)

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Provider's Procedures

DR. JAMES R JR. KIMBERLY (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYFL43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope4847
GASTROENTEROLOGYFL45385Removal of polyps or growths of large bowel using an endoscope7574

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: 6507761301View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
P A T H O L O G YFL
Gastroenterology, Internal MedicineFL
Gastroenterology, Internal MedicineFL
G A S T R O E N T E R O L O G YFL
Internal Medicine, GastroenterologyFL
Internal Medicine, GastroenterologyFL
Nurse PractitionerFL
-FL
-FL

Reviews

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Frequently asked questions

Does DR. JAMES R JR. KIMBERLY (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JAMES R JR. KIMBERLY (M.D.) uses 1528240199.
Does the file indicate DR. JAMES R JR. KIMBERLY (M.D.) is practicing under active NPI?
Directory data currently reports DR. JAMES R JR. KIMBERLY (M.D.) as active.
What is DR. JAMES R JR. KIMBERLY (M.D.) best known for clinically?
Directory data describes DR. JAMES R JR. KIMBERLY (M.D.) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. JAMES R JR. KIMBERLY (M.D.) serve?
DR. JAMES R JR. KIMBERLY (M.D.)'s listing highlights Orange Park, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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