DR. KIMBERLY YVETTE FORD (D.O.) – Family Medicine Physician, NPI 1275724866

DR. KIMBERLY YVETTE FORD (D.O.) is a healthcare provider. based in Morton, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 36-124222 (IL). The NPI Number for DR. KIMBERLY YVETTE FORD (D.O.) is 1275724866

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY YVETTE FORD (D.O.)
NPI
1275724866
Phone
(309) 263-2411
Address
411 MAXINE DR
Enumeration Date
7 August 2007
Last Update Date
28 July 2011

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3092632411
Graduation Year
2005 (21 years ago)
PAC ID
8527194315
Group Practice PAC ID
1153378229
Professional Enrollment ID
I20100331000695
Address ID
IL615502495MO411XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for DR. KIMBERLY YVETTE FORD (D.O.)

  • Koch Family Medicine Physical Therapy, 411, Maxine Drive, Morton, Tazewell County, Illinois, 61550, United States

    MORTON, IL 615502495

    Phone: (309) 263-2411

    Fax: (309) 263-2208

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $1,097.

Total Amount is formed as General ($1,097) + Research ($0) + Ownership ($0) = $1,097.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: PFIZER INC. ($164).

Total Amount

$1,097

General + Research + Ownership

Payments

56

Total payment records

General Amount

$1,097

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-03-31

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
I20100331000695IFamily PracticeILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes393154$0
99213Established patient office or other outpatient visit, 20-29 minutes11377$0
99215Established patient office or other outpatient visit, 40-54 minutes4941$0
82570Creatinine level to test for kidney function or muscle injury4133$0
81003Automated urinalysis test4133$0
View full utilization report →

Insurance plans in this area (ZIP 61550)

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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: 1153378229View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Nurse PractitionerIL
-IL
-GA
Family PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL
Family PracticeIL

Reviews

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Frequently asked questions

How do payers reference DR. KIMBERLY YVETTE FORD (D.O.)?
For DR. KIMBERLY YVETTE FORD (D.O.), use NPI 1275724866 as the unique 10-digit identifier.
Is DR. KIMBERLY YVETTE FORD (D.O.) shown as active in public data?
Registry records indicate DR. KIMBERLY YVETTE FORD (D.O.) maintains an active NPI.
How would a patient describe DR. KIMBERLY YVETTE FORD (D.O.)'s focus?
For DR. KIMBERLY YVETTE FORD (D.O.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. KIMBERLY YVETTE FORD (D.O.) located near Morton?
DR. KIMBERLY YVETTE FORD (D.O.) currently maps to Morton, Illinois in this extract.
When was this NPI issued?
Enumeration for DR. KIMBERLY YVETTE FORD (D.O.) is noted as August 7, 2007 where the registry provides it.

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