MS. KIMBERLEY CLOTHIER (PA) – Physician Assistant, NPI 1356349443
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. KIMBERLEY CLOTHIER (PA)
3715, North Oliver Street, Wichita, Sedgwick County, Kansas, 67220, United States
WICHITA, KS 672203404
Phone: (316) 942-4519
Fax: (316) 262-4887
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 91 Open Payments records for all available years, with a total value of $2,720.
Total Amount is formed as General ($2,720) + Research ($0) + Ownership ($0) = $2,720.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Medtronic, Inc. ($2,109).
Total Amount
$2,720
General + Research + Ownership
Payments
91
Total payment records
General Amount
$2,720
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,109 |
| Collegium Pharmaceutical, Inc. | $383 |
| TerSera Therapeutics LLC | $47 |
| Nalu Medical, Inc. | $42 |
| PFIZER INC. | $27 |
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: 2004-01-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040121000628 | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,055 | 49 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 597 | 162 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 366 | 136 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 309 | 139 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 59 | 59 | $0 |
Insurance plans in this area (ZIP 67220)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| Nurse Practitioner | KS | |
| Pain Management | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| - | KS |
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