KIMBERLY ANN MCCUTCHEON (NP-C) – Family Nurse Practitioner, NPI 1750032520
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for KIMBERLY ANN MCCUTCHEON (NP-C)
115 Elmwood Cir
West Carrollton, OH 454492428
Phone: (937) 866-3814
Type: Location
6251 Miami Valley Way Ste 120
Huber Heights, OH 454245255
Phone: (937) 312-1661
Type: Location
2400 Lakeview Dr Ste 210
Beavercreek, OH 454312581
Phone: (937) 312-1661
Type: Location
1715 Brown St Ste 350
Dayton, OH 454092502
Phone: (937) 567-6170
Type: Location
115 ELMWOOD CIR
WEST CARROLLTON, OH 454492428
Phone:
Fax: (937) 949-2740
Type: Mailing
3170 KETTERING BLVD BLDG B2ND
MORAINE, OH 454391924
Phone: (937) 991-3188
Fax: (937) 949-2740
Type: Mailing
30 E APPLE ST STE 2200
DAYTON, OH 454092939
Phone: (937) 208-2091
Fax: (937) 208-4007
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $532.
Total Amount is formed as General ($532) + Research ($0) + Ownership ($0) = $532.
Last reported payment date: 2024-04-18 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($335).
Total Amount
$532
General + Research + Ownership
Payments
4
Total payment records
General Amount
$532
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ACADIA Pharmaceuticals Inc | $335 |
| Xeris Pharmaceuticals, Inc. | $122 |
| Otsuka America Pharmaceutical, Inc. | $76 |
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: 2022-04-06
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 |
|---|---|---|---|---|
| I20220406001289 | I | Nurse Practitioner | OH | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 768 | 280 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 124 | 92 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 99 | 59 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 46 | 43 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 29 | 21 | $0 |
Insurance plans in this area (ZIP 45449)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hand Surgery, Orthopedic Surgery | OH | |
| Physician Assistant | OH | |
| - | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| - | OH | |
| Physician Assistant | OH | |
| Thoracic Surgery | PA | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH |
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