DR. KIMBERLY A DAVIDSON (M.D.) – Procedural Dermatology Physician, NPI 1770559510

DR. KIMBERLY A DAVIDSON (M.D.) is a healthcare provider. based in Fort myers, Florida. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. ME92997 (FL). The NPI Number for DR. KIMBERLY A DAVIDSON (M.D.) is 1770559510

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY A DAVIDSON (M.D.)
NPI
1770559510
Phone
(239) 437-8810
Address
15051 S. TAMIAMI TRAIL
Enumeration Date
23 February 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
2394443201
Graduation Year
2001 (25 years ago)
PAC ID
5193752525
Group Practice PAC ID
1153390414
Professional Enrollment ID
I20050718000758
Address ID
FL341347810BO25987TRLX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

Provider Addresses for DR. KIMBERLY A DAVIDSON (M.D.)

  • Regions Bank, 15051, South Tamiami Trail, Fort Myers, Lee County, Florida, 33908, United States

    SUITE 203

    FORT MYERS, FL 33908

    Phone: (239) 437-8810

    Fax: (239) 313-2555

    Type: Mailing

  • 1015 CROSSPOINTE DR

    NAPLES, FL 341100930

    Phone: (239) 596-9075

    Fax: (239) 596-9076

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 63 Open Payments records for all available years, with a total value of $1,618.

Total Amount is formed as General ($1,618) + Research ($0) + Ownership ($0) = $1,618.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($427).

Total Amount

$1,618

General + Research + Ownership

Payments

63

Total payment records

General Amount

$1,618

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2005-07-18

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
I20050718000758IDermatologyFLTBD

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
17003Destruction of precancer skin growth, 2-14 growths2,310583$0
99213Established patient office or other outpatient visit, 20-29 minutes1,4471,010$0
17000Destruction of precancer skin growth, 1 growth1,316886$0
11102Biopsy of related skin growth, first growth1,295987$0
99214Established patient office or other outpatient visit, 30-39 minutes1,139919$0
View full utilization report →

Insurance plans in this area (ZIP 33908)

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Provider's Procedures

DR. KIMBERLY A DAVIDSON (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYFL17003Destruction of 2-14 skin growths2743564

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: 1153390414View full group profile
NameSpecialtyState
General SurgeryFL
D E R M A T O L O G YFL
Physician AssistantFL
Nurse PractitionerFL
-FL
D E R M A T O L O G YFL
D E R M A T O L O G YFL
Nurse PractitionerFL
D E R M A T O L O G YFL
Physician AssistantFL

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Frequently asked questions

How is DR. KIMBERLY A DAVIDSON (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. KIMBERLY A DAVIDSON (M.D.) with NPI 1770559510.
Does the file indicate DR. KIMBERLY A DAVIDSON (M.D.) is practicing under active NPI?
Directory data currently reports DR. KIMBERLY A DAVIDSON (M.D.) as active.
What is DR. KIMBERLY A DAVIDSON (M.D.)'s primary classification?
Procedural Dermatology Physician is the headline specialty for DR. KIMBERLY A DAVIDSON (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. KIMBERLY A DAVIDSON (M.D.) based?
DR. KIMBERLY A DAVIDSON (M.D.) is tied to Fort Myers, Florida in the data we show; additional addresses may exist on the full record.
Why does DR. KIMBERLY A DAVIDSON (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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