DR. KIMBERLY S CARLSON (DPM) – Primary Podiatric Medicine Podiatrist, NPI 1043199730

DR. KIMBERLY S CARLSON (DPM) is a healthcare provider. based in Holland, Ohio. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 36-002859 (OH). The NPI Number for DR. KIMBERLY S CARLSON (DPM) is 1043199730

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY S CARLSON (DPM)
NPI
1043199730
Phone
(419) 304-6855
Address
647 GLEN ABBEY LN
Enumeration Date
28 August 2025
Last Update Date
28 August 2025

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
24852821166
Graduation Year
1993 (33 years ago)
PAC ID
4981190667
Group Practice PAC ID
5890765481
Professional Enrollment ID
I20251231003711
Address ID
OH435515276PE740XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

953 PODIATRY in OH

Provider Addresses for DR. KIMBERLY S CARLSON (DPM)

  • 647 GLEN ABBEY LN

    HOLLAND, OH 435288480

    Phone: (419) 304-6855

    Type: Mailing

  • 2526 N REYNOLDS RD

    TOLEDO, OH 436150709

    Phone: (419) 327-7538

    Type: Location

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: 2025-12-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251231003711IPodiatryOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43528)

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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: 5890765481View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH
Nurse PractitionerGA
Qualified AudiologistOH
-OH
Qualified AudiologistOH
Internal MedicineOH
P O D I A T R YOH
O P T O M E T R YPA
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. KIMBERLY S CARLSON (DPM)?
DR. KIMBERLY S CARLSON (DPM) — NPI 1043199730 — is the standard way to identify this listing.
Is DR. KIMBERLY S CARLSON (DPM) still practicing?
DR. KIMBERLY S CARLSON (DPM) is currently listed as active in the public NPI registry.
What is DR. KIMBERLY S CARLSON (DPM)'s primary classification?
Primary Podiatric Medicine Podiatrist is the headline specialty for DR. KIMBERLY S CARLSON (DPM) here. Clinical services aligned with this taxonomy classification.
What area does DR. KIMBERLY S CARLSON (DPM) serve?
DR. KIMBERLY S CARLSON (DPM)'s listing highlights Holland, Ohio; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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