KIMBERLY A PETRUSO (DO) – Family Medicine Physician, NPI 1043285703
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,123 FAMILY PRACTICE in PA
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Provider Addresses for KIMBERLY A PETRUSO (DO)
Pottstown Hospital Imaging Center, 1616, Medical Drive, Pottstown, Montgomery County, Pennsylvania, 19464, United States
POTTSTOWN, PA 194643241
Phone: (610) 327-4200
Fax: (610) 327-8160
Type: Mailing
Boyertown Medical Associates, 23, North Walnut Street, Boyertown, Berks County, Pennsylvania, 19512, United States
BOYERTOWN, PA 195121467
Phone: (610) 367-2259
Fax: (610) 367-0505
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $693.
Total Amount is formed as General ($693) + Research ($0) + Ownership ($0) = $693.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Novo Nordisk Inc ($188).
Total Amount
$693
General + Research + Ownership
Payments
35
Total payment records
General Amount
$693
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $188 |
| Abbott Laboratories | $142 |
| Lilly USA, LLC | $130 |
| ABBVIE INC. | $89 |
| Novartis Pharmaceuticals Corporation | $37 |
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: 2004-04-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040416000586 | I | Family Practice | PA | 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 | 460 | 222 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 217 | 174 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 158 | 158 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 155 | 155 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 145 | 145 | $0 |
Insurance plans in this area (ZIP 19464)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Family Practice | PA | |
| - | PA | |
| Physician Assistant | PA | |
| Family Practice | PA | |
| Registered Dietitian Or Nutrition Professional | PA | |
| Rheumatology, Internal Medicine | NJ | |
| Nurse Practitioner | PA | |
| - | PA | |
| Nurse Practitioner | PA |
Reviews
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