BETH C KIMBALL (MD) – Surgery Physician, NPI 1508806357

BETH C KIMBALL (MD) is a healthcare provider. based in Ypsilanti, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 4301056106 (MI). The NPI Number for BETH C KIMBALL (MD) is 1508806357

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
BETH C KIMBALL (MD)
NPI
1508806357
Phone
(734) 712-8150
Address
5325 ELLIOTT DR
Enumeration Date
8 June 2006
Last Update Date
19 September 2012

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
7347128700
Graduation Year
1990 (36 years ago)
PAC ID
9234266792
Group Practice PAC ID
2466351440
Professional Enrollment ID
I20100415000204
Address ID
MI483415009PO44428AVEX312
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

1,444 GENERAL SURGERY in MI

Provider Addresses for BETH C KIMBALL (MD)

  • 5325 ELLIOTT DR

    SUITE 104

    YPSILANTI, MI 481978633

    Phone: (734) 712-8150

    Fax: (734) 712-8151

    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.

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: 2010-04-15

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
I20100415000204IGeneral SurgeryMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8474$0
99204New patient office or other outpatient visit, 45-59 minutes4141$0
60500Removal or exploration of parathyroid glands2626$0
19301Partial removal of breast2120$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 48197)

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Provider's Procedures

BETH C KIMBALL (MD) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYMI19301Partial removal of breast2222
GENERAL SURGERYMI38900Lymph node imaging during surgery2020

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: 2466351440View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMI
Interventional RadiologyMI
Cardiovascular Disease (Cardiology)MI
Physician AssistantMI
Physician AssistantMI
-MI
-MI
Internal Medicine, Geriatric MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Hospitalist, Internal MedicineMI

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Frequently asked questions

Does BETH C KIMBALL (MD) have a public NPI I can cite?
Public records show BETH C KIMBALL (MD) under NPI 1508806357.
Does the public listing show BETH C KIMBALL (MD) as active?
BETH C KIMBALL (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits BETH C KIMBALL (MD)?
NPPES ties BETH C KIMBALL (MD) to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to BETH C KIMBALL (MD)?
The directory associates BETH C KIMBALL (MD) with Ypsilanti, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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