DR. CAROLINE KIM KUPFER (M.D.) – Internal Medicine Physician, NPI 1083643480
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,828 INTERNAL MEDICINE in IL
Provider Addresses for DR. CAROLINE KIM KUPFER (M.D.)
2321 N. Wisconsin Avenue
Peoria, IL 61603
Phone: (309) 680-7600
Fax: (309) 681-8620
Type: Location
1001, North Central Avenue, Phoenix, Maricopa County, Arizona, 85004, United States
PHOENIX, AZ 850122716
Phone: (602) 406-4786
Fax: (916) 636-4358
Type: Mailing
900, West Thomas Road, Encanto Manor, Encanto, Phoenix, Maricopa County, Arizona, 85013, United States
PHOENIX, AZ 850134223
Phone: (602) 406-3540
Fax: (602) 406-7186
Type: Location
PO BOX 33269
PHOENIX, AZ 850673269
Phone: (602) 406-4786
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-10-22
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 |
|---|---|---|---|---|
| I20241022005089 | I | Internal Medicine | TX | 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 | 84 | 61 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 39 | 39 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 34 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 24 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | 14 | $0 |
Insurance plans in this area (ZIP 61603)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | CA | |
| Family Practice | AZ | |
| Physical Therapist In Private Practice | AZ | |
| Physical Therapist In Private Practice | AZ | |
| Family Practice | AZ | |
| Nurse Practitioner | AZ |
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