KIMBERLY BANFIELD (D.O.) – Emergency Medicine Physician, NPI 1154581635

KIMBERLY BANFIELD (D.O.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 0T011420 (PA). The NPI Number for KIMBERLY BANFIELD (D.O.) is 1154581635

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY BANFIELD (D.O.)
NPI
1154581635
Phone
Not provided
Address
1425 LOCUST ST UNIT 20B
Enumeration Date
10 June 2008
Last Update Date
13 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6094632000
Graduation Year
2005 (21 years ago)
PAC ID
0446303234
Group Practice PAC ID
3678500998
Professional Enrollment ID
I20110713000497
Address ID
NJ082102138CA2XXXXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,703 EMERGENCY MEDICINE in NJ

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Provider Addresses for KIMBERLY BANFIELD (D.O.)

  • Locust Street, Philadelphia, Philadelphia County, Pennsylvania, 19103, United States

    PHILADELPHIA, PA 191023838

    Phone:

    Type: Mailing

  • Cape Regional Medical Center, 2, Stone Harbor Boulevard, Cape May Court House, Middle Township, Cape May County, New Jersey, 08210, United States

    CAPE MAY COURT HOUSE, NJ 082102138

    Phone: (609) 463-2139

    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: 2011-07-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110713000497IEmergency MedicineNJTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making431409$0
99284Emergency department visit with moderate level of medical decision making222219$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only178165$0
99291Critical care, first 30-74 minutes116115$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5856$0
View full utilization report →

Insurance plans in this area (ZIP 19102)

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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: 3678500998View full group profile
NameSpecialtyState
Emergency MedicineNJ
-NJ
Physician AssistantPA
-NJ
Emergency MedicineNJ
Emergency MedicineNJ
Physician AssistantNJ
Emergency MedicineNJ
Physician AssistantNJ
Physician AssistantPA

Reviews

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Frequently asked questions

What unique ID ties claims to KIMBERLY BANFIELD (D.O.)?
NPI 1154581635 is assigned to KIMBERLY BANFIELD (D.O.) under the national enumeration system.
Is KIMBERLY BANFIELD (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KIMBERLY BANFIELD (D.O.) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for KIMBERLY BANFIELD (D.O.). Clinical services aligned with this taxonomy classification.
Where does public data place KIMBERLY BANFIELD (D.O.)?
The snapshot lists Philadelphia, Pennsylvania for KIMBERLY BANFIELD (D.O.); download NPPES for the complete set.
Is KIMBERLY BANFIELD (D.O.) a real provider?
This page reflects official NPPES data for NPI 1154581635. Always confirm identity and privileges with the practice and licensing boards.

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