KATHRYN JO CHAMBERLAIN (MD) – Family Medicine Physician, NPI 1033606710
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,075 FAMILY PRACTICE in MN
Provider Addresses for KATHRYN JO CHAMBERLAIN (MD)
111 COUNTY ROAD 11 NW
PINE ISLAND, MN 559639756
Phone: (507) 356-4929
Type: Mailing
6600 EXCELSIOR BLVD STE 160
ST LOUIS PARK, MN 554264713
Phone: (952) 993-7705
Type: Mailing
210 9TH ST SE
ROCHESTER, MN 559046756
Phone: (507) 288-3443
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2024-05-13 • Largest payer in this snapshot: Dexcom, Inc. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $18 |
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: 2021-08-09
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 |
|---|---|---|---|---|
| I20210809003773 | I | Family Practice | MN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 31 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 24 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 20 | $0 |
Insurance plans in this area (ZIP 55963)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MN | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| P A T H O L O G Y | MN | |
| Physical Therapist In Private Practice | MN | |
| D E R M A T O L O G Y | TN |
Reviews
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