MS. KYMBERLY L GOMEZ (PA) – Physician Assistant, NPI 1225068851

MS. KYMBERLY L GOMEZ (PA) is a healthcare provider. based in Chicago, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 111559 (MO). The NPI Number for MS. KYMBERLY L GOMEZ (PA) is 1225068851

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MS. KYMBERLY L GOMEZ (PA)
NPI
1225068851
Phone
(314) 514-3500
Address
PO BOX 7412011
Enumeration Date
3 July 2006
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3145143500
Graduation Year
1996 (30 years ago)
PAC ID
1951438068
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20100421000822
Address ID
MO631101032SA4921XPLXX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,853 PHYSICIAN ASSISTANT in MO

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Provider Addresses for MS. KYMBERLY L GOMEZ (PA)

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 514-3500

    Fax: (314) 878-7678

    Type: Mailing

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    CB 8233

    SAINT LOUIS, MO 631101010

    Phone: (314) 514-3500

    Fax: (314) 747-2598

    Type: Mailing

  • 14532, South Outer 40, Chesterfield, Saint Louis County, Missouri, 63017, United States

    DEPT ORTHOPAEDIC SURGERY, STE 200

    CHESTERFIELD, MO 630175705

    Phone: (314) 514-3500

    Fax: (314) 878-7678

    Type: Location

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: 2010-04-21

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
I20100421000822IPhysician AssistantMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4941$0
J1030Injection, methylprednisolone acetate, 40 mg3717$0
99203New patient office or other outpatient visit, 30-44 minutes3030$0
20610Aspiration and/or injection of fluid from large joint2917$0
99214Established patient office or other outpatient visit, 30-39 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 60674)

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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: 9830008770View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm MS. KYMBERLY L GOMEZ (PA)'s NPI?
Yes. MS. KYMBERLY L GOMEZ (PA) is listed with NPI 1225068851 in the public NPI dataset.
Does CMS list MS. KYMBERLY L GOMEZ (PA) as active?
Yes — MS. KYMBERLY L GOMEZ (PA) is active in the NPI listing used on this page.
What is MS. KYMBERLY L GOMEZ (PA)'s primary classification?
Physician Assistant is the headline specialty for MS. KYMBERLY L GOMEZ (PA) here. Clinical services aligned with this taxonomy classification.
Does MS. KYMBERLY L GOMEZ (PA) list a practice location?
Patients near Chicago, Illinois may find MS. KYMBERLY L GOMEZ (PA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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