DR. ALEXANDRA BOER KIMBALL (MD MPH) – Dermatology Physician, NPI 1073503603

DR. ALEXANDRA BOER KIMBALL (MD MPH) is a healthcare provider. based in Boston, Massachusetts. specializing in DERMATOLOGY. They hold the professional credentials MD MPH. They hold a License No. 222718 (MA). The NPI Number for DR. ALEXANDRA BOER KIMBALL (MD MPH) is 1073503603

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEXANDRA BOER KIMBALL (MD MPH)
NPI
1073503603
Phone
(617) 632-7444
Address
375 LONGWOOD AVE STE 3
Enumeration Date
25 October 2005
Last Update Date
29 May 2018

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6177548612
Graduation Year
1994 (32 years ago)
PAC ID
5294795282
Group Practice PAC ID
4486567104
Professional Enrollment ID
I20041014000053
Address ID
MA022155400BO330XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

744 DERMATOLOGY in MA

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Provider Addresses for DR. ALEXANDRA BOER KIMBALL (MD MPH)

  • 3, Longwood Avenue, Roxbury Crossing, Roxbury, Boston, Suffolk County, Massachusetts, 02115, United States

    BOSTON, MA 022155395

    Phone: (617) 632-7444

    Fax: (617) 726-7768

    Type: Mailing

  • Beth Israel Deaconess Medical Center East Campus, 330, Brookline Avenue, Audubon Square, Boston, Suffolk County, Massachusetts, 02215, United States

    BOSTON, MA 02215

    Phone: (617) 667-3753

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 136 Open Payments records for all available years, with a total value of $176,681.

Total Amount is formed as General ($160,899) + Research ($15,781) + Ownership ($0) = $176,681.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: GENZYME CORPORATION ($26,070).

Total Amount

$176,681

General + Research + Ownership

Payments

136

Total payment records

General Amount

$160,899

General payments

Research Amount

$15,781

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2004-10-14

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
I20041014000053IDermatologyMATBD

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 minutes4727$0
99213Established patient office or other outpatient visit, 20-29 minutes2521$0
View full utilization report →

Insurance plans in this area (ZIP 02215)

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Provider's Procedures

DR. ALEXANDRA BOER KIMBALL (MD MPH) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMA17003Destruction of 2-14 skin growths8716

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: 4486567104View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ALEXANDRA BOER KIMBALL (MD MPH)?
NPI 1073503603 is assigned to DR. ALEXANDRA BOER KIMBALL (MD MPH) under the national enumeration system.
Is DR. ALEXANDRA BOER KIMBALL (MD MPH)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. ALEXANDRA BOER KIMBALL (MD MPH)'s specialty in plain language?
Clinically, the directory lists DR. ALEXANDRA BOER KIMBALL (MD MPH) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does DR. ALEXANDRA BOER KIMBALL (MD MPH) practice in Massachusetts?
You will see Boston, Massachusetts on file for DR. ALEXANDRA BOER KIMBALL (MD MPH) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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