KIMBERLY M BUSHROW (PA-C) – Physician Assistant, NPI 1154319820
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for KIMBERLY M BUSHROW (PA-C)
1100 W Main St
Woodville, OH 434699723
Phone: (419) 724-5820
Type: Location
1070 N Shoop Ave
Wauseon, OH 435671821
Phone: (419) 330-5200
Type: Location
Secor Road, Old Orchard, Toledo, Lucas County, Ohio, 43606:43615, United States
TOLEDO, OH 436234231
Phone: (419) 473-3561
Type: Mailing
1100 W MAIN ST
WOODVILLE, OH 434699723
Phone: (419) 724-5820
Type: Location
1136 Country Club Rd Unit C
Adrian, MI 492218209
Phone: (517) 366-5110
Type: Location
417 4th St
Defiance, OH 435122605
Phone: (419) 785-4660
Type: Location
341 Trenton Ave
Findlay, OH 458403745
Phone: (567) 250-8212
Type: Location
7301 Secor Rd
Lambertville, MI 481449737
Phone: (419) 479-5795
Type: Location
106 S Lafayette St
South Lyon, MI 481781404
Phone: (947) 348-1176
Type: Location
1090 N Shoop Ave
Wauseon, OH 435671821
Phone: (419) 330-5200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 394 Open Payments records for all available years, with a total value of $9,633.
Total Amount is formed as General ($9,633) + Research ($0) + Ownership ($0) = $9,633.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($1,917).
Total Amount
$9,633
General + Research + Ownership
Payments
394
Total payment records
General Amount
$9,633
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,917 |
| E.R. Squibb & Sons, L.L.C. | $1,470 |
| GENZYME CORPORATION | $813 |
| Janssen Biotech, Inc. | $776 |
| Novartis Pharmaceuticals Corporation | $396 |
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: 2009-05-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050418000519 | I | Physician Assistant | OH | TBD |
| I20090529000457 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,090 | 360 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 677 | 487 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 656 | 472 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 377 | 328 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 367 | 284 | $0 |
Insurance plans in this area (ZIP 43469)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | OH | |
| U R O L O G Y | OH | |
| Pulmonary Disease, Critical Care (Intensivists) | OH | |
| H E M A T O L O G Y/ O N C O L O G Y | OH | |
| G A S T R O E N T E R O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Orthopedic Surgery | OH |
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