KIMBERLY TENOLD (PA-C) – Medical Physician Assistant, NPI 1144240268
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
Provider Addresses for KIMBERLY TENOLD (PA-C)
190 E BANNOCK ST
BOISE, ID 837126241
Phone:
Type: Mailing
1450 AVIATION DR STE 203
HAILEY, ID 833338785
Phone: (208) 727-8295
Type: Location
1001, Blythe Boulevard, Midtown, Charlotte, Mecklenburg County, North Carolina, 28203, United States
STE 500
CHARLOTTE, NC 282035874
Phone: (704) 355-5100
Fax: (704) 342-4354
Type: Mailing
Old Cornwallis Road, Few, Durham, Durham County, North Carolina, 27713, United States
DURHAM, NC 277131869
Phone: (919) 932-5700
Fax: (919) 932-5700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $485.
Total Amount is formed as General ($485) + Research ($0) + Ownership ($0) = $485.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($175).
Total Amount
$485
General + Research + Ownership
Payments
19
Total payment records
General Amount
$485
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $175 |
| Janssen Pharmaceuticals, Inc | $111 |
| Genentech USA, Inc. | $86 |
| Celgene Corporation | $41 |
| LivaNova USA, Inc. | $23 |
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: 2021-11-15
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 |
|---|---|---|---|---|
| I20211115000563 | I | Physician Assistant | ID | 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 | 16 | 15 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 83712)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ID | |
| Family Practice | ID | |
| Cardiovascular Disease (Cardiology) | MN | |
| Family Practice | ID | |
| - | NM | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| P S Y C H I A T R Y | ID | |
| Gastroenterology, Internal Medicine, Family Practice | MT | |
| Family Practice | ID | |
| Certified Registered Nurse Anesthetist (Crna) | UT |
Reviews
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