MR. KYLE KIMBROUGH (PA-C) – Physician Assistant, NPI 1104231695
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
396 PHYSICIAN ASSISTANT in MS
Provider Addresses for MR. KYLE KIMBROUGH (PA-C)
P.O. BOX 364
NEW ALBANY, MS 38652
Phone: (662) 316-5409
Type: Mailing
1568 HWY 178 E
NEW ALBANY, MS 38652
Phone: (662) 316-5409
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 166 Open Payments records for all available years, with a total value of $2,053.
Total Amount is formed as General ($2,053) + Research ($0) + Ownership ($0) = $2,053.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($372).
Total Amount
$2,053
General + Research + Ownership
Payments
166
Total payment records
General Amount
$2,053
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $372 |
| PFIZER INC. | $287 |
| ABBVIE INC. | $233 |
| Astellas Pharma US Inc | $167 |
| GlaxoSmithKline, LLC. | $146 |
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: 2015-04-24
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20150424001670 | I | Physician Assistant | MS | 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 | 313 | 162 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 261 | 183 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 201 | 126 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 148 | 107 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 100 | 67 | $0 |
Insurance plans in this area (ZIP 38652)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MS | |
| A N E S T H E S I O L O G Y | MS | |
| - | MS | |
| - | MS | |
| - | MS | |
| Nurse Practitioner | MS | |
| Gastroenterology, Internal Medicine | MS | |
| - | MS | |
| - | MS | |
| Certified Registered Nurse Anesthetist (Crna) | MS |
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