MISS KIMBERLY ANITA GORE (P.A.-C.) – Physician Assistant, NPI 1700929296
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MISS KIMBERLY ANITA GORE (P.A.-C.)
1702 W ELDRED DR
TAMPA, FL 336032814
Phone: (813) 870-0209
Fax: (813) 877-9680
Type: Mailing
3043 W CLEVELAND ST
TAMPA, FL 336093151
Phone: (813) 876-9961
Fax: (813) 877-9680
Type: Location
2919 W Swann Ave Ste 106
Tampa, FL 336094049
Phone: (813) 930-2829
Fax: (813) 930-9522
Type: Location
6340 Fort King Rd
Zephyrhills, FL 335422531
Phone: (813) 782-6116
Type: Location
30115 COUNTY ROAD 52 STE 101
SAN ANTONIO, FL 335768243
Phone: (813) 467-4244
Type: Mailing
3001 EXECUTIVE DR STE 130
CLEARWATER, FL 337625323
Phone: (727) 347-0005
Fax: (727) 541-6558
Type: Mailing
2919 W SWANN AVE STE 106
TAMPA, FL 336094049
Phone: (813) 930-2829
Fax: (813) 930-9522
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 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: 2024-11-21 • Largest payer in this snapshot: Organogenesis Inc. ($128).
Total Amount
$422
General + Research + Ownership
Payments
20
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
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $128 |
| Lilly USA, LLC | $80 |
| PFIZER INC. | $66 |
| Novo Nordisk Inc | $52 |
| Janssen Pharmaceuticals, Inc | $29 |
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: 2017-10-04
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 |
|---|---|---|---|---|
| I20171004003070 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 128 | 60 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 32 | 32 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 24 | 24 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 19 | 16 | $0 |
Insurance plans in this area (ZIP 33603)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Hospitalist, Internal Medicine | FL | |
| - | FL | |
| H O S P I T A L I S T | CA | |
| Hospitalist, Internal Medicine | FL | |
| - | FL |
Reviews
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