BENJAMIN RAY KIMBALL (PA) – Physician Assistant, NPI 1114409893
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
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Provider Addresses for BENJAMIN RAY KIMBALL (PA)
324 W PROUT
HILL CITY, KS 67642
Phone: (785) 421-2121
Fax: (785) 421-2195
Type: Mailing
Graham County Hospital, 304, West Prout Street, Hill City, Graham County, Kansas, 67642, United States
HILL CITY, KS 676421435
Phone: (785) 421-2121
Fax: (785) 421-2195
Type: Location
750 W D Ave
Kingman, KS 670681266
Phone: (620) 532-3147
Type: Location
550 N HILLSIDE ST
WICHITA, KS 672144910
Phone: (316) 962-2000
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: 2018-10-09
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 |
|---|---|---|---|---|
| I20181009000777 | I | Physician Assistant | KS | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 52 | 51 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 38 | 38 | $0 |
| 99282 | Emergency department visit with straightforward medical decision making | 13 | 12 | $0 |
Insurance plans in this area (ZIP 67642)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists), Pulmonary Disease | MS | |
| Critical Care (Intensivists), General Surgery | MA | |
| Critical Care (Intensivists), Internal Medicine | KS | |
| Internal Medicine, Geriatric Medicine, Critical Care (Intensivists) | GA | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | CO | |
| N E U R O L O G Y | TN | |
| Physician Assistant | KS |
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