KIMBERLY A RICHARDSON (MD) – Family Medicine Physician, NPI 1215977293

KIMBERLY A RICHARDSON (MD) is a healthcare provider. based in King of prussia, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD072499L (PA). The NPI Number for KIMBERLY A RICHARDSON (MD) is 1215977293

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY A RICHARDSON (MD)
NPI
1215977293
Phone
(610) 265-0726
Address
210 MALL BLVD
Enumeration Date
7 June 2006
Last Update Date
23 January 2019

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
4183679467
Group Practice PAC ID
8527962661
Professional Enrollment ID
I20050623000502
Address ID
PA194063260KI210XXBLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

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Provider Addresses for KIMBERLY A RICHARDSON (MD)

  • 210, Mall Boulevard, Lafayette Park, King of Prussia, Upper Merion Township, Montgomery County, Pennsylvania, 19406, United States

    STE 102

    KING OF PRUSSIA, PA 194063260

    Phone: (610) 265-0726

    Fax: (610) 265-3132

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Exact Sciences Corporation ($23).

Total Amount

$57

General + Research + Ownership

Payments

3

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-06-23

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
I20050623000502IFamily PracticePATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes329181$0
99213Established patient office or other outpatient visit, 20-29 minutes178131$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7272$0
G0008Administration of influenza virus vaccine4443$0
90662Influenza vaccine split virus, preservative free4039$0
View full utilization report →

Insurance plans in this area (ZIP 19406)

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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: 8527962661View full group profile
NameSpecialtyState
-PA
-PA
E N D O C R I N O L O G YPA
Family PracticePA
Nurse PractitionerPA
Family PracticePA
E N D O C R I N O L O G YPA
P A T H O L O G YPA
P A T H O L O G YMA
Family PracticePA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Is there an official ID for KIMBERLY A RICHARDSON (MD) in U.S. healthcare records?
The official identifier for KIMBERLY A RICHARDSON (MD) is NPI 1215977293.
Would KIMBERLY A RICHARDSON (MD) appear as active to a payer?
You can treat KIMBERLY A RICHARDSON (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to KIMBERLY A RICHARDSON (MD)?
KIMBERLY A RICHARDSON (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KIMBERLY A RICHARDSON (MD)?
Travel planning: use King Of Prussia, Pennsylvania as the reference point for KIMBERLY A RICHARDSON (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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