MRS. KIMBERLY ANNE PETERS (OT) – Occupational Therapist, NPI 1568578680
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL
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Provider Addresses for MRS. KIMBERLY ANNE PETERS (OT)
510, Lincoln Drive, Herrin, Williamson County, Illinois, 62948, United States
SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL 629486334
Phone: (618) 997-6800
Fax: (618) 998-9124
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)
No Open Payments data available for this provider.
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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: 2004-08-18
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 |
|---|---|---|---|---|
| I20040818001106 | I | Occupational Therapist In Private Practice | IL | 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 |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,788 | 102 | $0 |
| 97035 | Application of ultrasound, each 15 minutes | 115 | 17 | $0 |
| 97165 | Evaluation for occupational therapy, typically 30 minutes | 99 | 94 | $0 |
| 97760 | Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes | 76 | 65 | $0 |
Insurance plans in this area (ZIP 62948)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OCCUPATIONAL THERAPY | IL | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1589 | 88 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| - | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Orthopedic Surgery | IL | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| - | IL | |
| Orthopedic Surgery | IL | |
| - | KY |
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