DR. KIM L MCDONALD (M.D.) – Internal Medicine Physician, NPI 1386636009
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
4,186 INTERNAL MEDICINE in MO
Provider Addresses for DR. KIM L MCDONALD (M.D.)
4585 Washington St
Suite C4
Florissant, MO 630335858
Phone: (314) 838-8839
Fax: (314) 838-4291
Type: Location
4585, Washington Street, Florissant, Saint Louis County, Missouri, 63033, United States
SUITE C4
FLORISSANT, MO 630335858
Phone: (314) 838-8839
Fax: (314) 838-4291
Type: Mailing
14021 NEW HALLS FERRY RD
FLORISSANT, MO 630332763
Phone: (314) 617-3200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $976.
Total Amount is formed as General ($976) + Research ($0) + Ownership ($0) = $976.
Last reported payment date: 2024-05-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($733).
Total Amount
$976
General + Research + Ownership
Payments
20
Total payment records
General Amount
$976
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-04-06
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 |
|---|---|---|---|---|
| I20050406000000 | I | Internal Medicine | MO | 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 | 49 | 29 | $0 |
Insurance plans in this area (ZIP 63033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Interventional Pain Management, Anesthesiology | MO |
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