KIMBERLY ANN BAUER (M.D.) – Dermatology Physician, NPI 1295946473

KIMBERLY ANN BAUER (M.D.) is a healthcare provider. based in Sycamore, Illinois. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 036130506 (IL). The NPI Number for KIMBERLY ANN BAUER (M.D.) is 1295946473

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ANN BAUER (M.D.)
NPI
1295946473
Phone
(815) 758-8674
Address
1850 GATEWAY DR
Enumeration Date
27 May 2007
Last Update Date
12 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6302320280
Graduation Year
2008 (18 years ago)
PAC ID
5890944144
Group Practice PAC ID
5890696231
Professional Enrollment ID
I20121002000751
Address ID
IL601783192SY1850XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

703 DERMATOLOGY in IL

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Provider Addresses for KIMBERLY ANN BAUER (M.D.)

  • DeKalb Clinic, 1850, Gateway Drive, Sycamore, DeKalb County, Illinois, 60178, United States

    SYCAMORE, IL 601783192

    Phone: (815) 758-8674

    Fax: (815) 758-7298

    Type: Mailing

  • 1124, Essington Road, Joliet, Will County, Illinois, 60435, United States

    JOLIET, IL 604358423

    Phone: (815) 744-8554

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2023-04-24 • Largest payer in this snapshot: ABBVIE INC. ($106).

Total Amount

$121

General + Research + Ownership

Payments

2

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$106
PFIZER INC.$15
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: 2012-10-02

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
I20121002000751IDermatologyILTBD

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 minutes543326$0
17003Destruction of precancer skin growth, 2-14 growths448134$0
11102Biopsy of related skin growth, first growth430338$0
99213Established patient office or other outpatient visit, 20-29 minutes377294$0
17000Destruction of precancer skin growth, 1 growth308224$0
View full utilization report →

Insurance plans in this area (ZIP 60178)

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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: 5890696231View full group profile
NameSpecialtyState
General SurgeryIL
Vascular SurgeryIL
-IL
Nurse PractitionerIL
-IL
C H I R O P R A C T I CIL
Family PracticeIL
Physical Medicine And RehabilitationCO
-IL
Hospitalist, Family PracticeIL

Reviews

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Frequently asked questions

What is the standard ID for KIMBERLY ANN BAUER (M.D.) in the U.S.?
In the U.S., KIMBERLY ANN BAUER (M.D.) is identified by NPI 1295946473.
Is KIMBERLY ANN BAUER (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists KIMBERLY ANN BAUER (M.D.) as active.
What type of care does KIMBERLY ANN BAUER (M.D.) provide?
KIMBERLY ANN BAUER (M.D.)'s profile centers on Dermatology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to KIMBERLY ANN BAUER (M.D.)?
KIMBERLY ANN BAUER (M.D.) shows a connection to Sycamore, Illinois in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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