KIMBERLY SIMONS (PA) – Dermatology Physician, NPI 1336593169
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KIMBERLY SIMONS (PA)
43151, Dalcoma Drive, Clinton Township, Macomb County, Michigan, 48038, United States
SUITE 5
CLINTON TOWNSHIP, MI 480386306
Phone: (586) 286-8720
Fax: (866) 790-6803
Type: Mailing
285, North Lilley Road, Canton, Wayne County, Michigan, 48187, United States
CANTON, MI 481873907
Phone: (734) 495-1506
Fax: (734) 495-1780
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 118 Open Payments records for all available years, with a total value of $3,151.
Total Amount is formed as General ($3,151) + Research ($0) + Ownership ($0) = $3,151.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Incyte Corporation ($516).
Total Amount
$3,151
General + Research + Ownership
Payments
118
Total payment records
General Amount
$3,151
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Incyte Corporation | $516 |
| E.R. Squibb & Sons, L.L.C. | $457 |
| Novartis Pharmaceuticals Corporation | $311 |
| Regeneron Healthcare Solutions, Inc. | $184 |
| UCB, Inc. | $136 |
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: 2016-05-13
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 |
|---|---|---|---|---|
| I20160513001517 | I | Physician Assistant | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48038)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| D E R M A T O L O G Y | MD | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | MI | |
| - | MI | |
| D E R M A T O L O G Y | MI | |
| - | MI | |
| D E R M A T O L O G Y | MI |
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