BRENT EARL KIMBLER (PA-C) – Medical Physician Assistant, NPI 1437892247
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for BRENT EARL KIMBLER (PA-C)
17 S 3rd St
Nyssa, OR 979133815
Phone: (541) 372-5738
Fax: (541) 372-5732
Type: Location
13200 W HEIDEN CIR UNIT 2409
LAKE BLUFF, IL 600441062
Phone: (585) 435-8263
Type: Mailing
789 WASHINGTON ST W
VALE, OR 979181147
Phone: (541) 473-2101
Type: Location
2965 W 3500 S
WEST VALLEY CITY, UT 841193602
Phone: (801) 965-3600
Type: Mailing
9844 S 1300 E STE 100
SANDY, UT 840944600
Phone: (801) 965-3600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $93.
Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.
Last reported payment date: 2023-08-07 • Largest payer in this snapshot: Novo Nordisk Inc ($34).
Total Amount
$93
General + Research + Ownership
Payments
5
Total payment records
General Amount
$93
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $34 |
| Exact Sciences Corporation | $24 |
| AstraZeneca Pharmaceuticals LP | $19 |
| Lilly USA, LLC | $17 |
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: 2025-10-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20220922003213 | I | Physician Assistant | OR | TBD |
| I20250624003309 | I | Physician Assistant | ID | TBD |
| I20251024003390 | I | Physician Assistant | UT | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 18 | 16 | $0 |
| 81002 | Urinalysis, manual test | 18 | 14 | $0 |
| 83036 | Hemoglobin a1c level | 17 | 13 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 14 | 14 | $0 |
Insurance plans in this area (ZIP 97913)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| Diagnostic Radiology | MN | |
| - | OR | |
| Emergency Medicine, Family Practice | OR | |
| Family Practice | ID | |
| Nurse Practitioner | ID | |
| - | ID |
Reviews
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