DOUGLAS KIMMEL (D.O.) – Family Medicine Physician, NPI 1891780631

DOUGLAS KIMMEL (D.O.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. OS006506L (PA). The NPI Number for DOUGLAS KIMMEL (D.O.) is 1891780631

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS KIMMEL (D.O.)
NPI
1891780631
Phone
Not provided
Address
12265 TOWNSEND RD
Enumeration Date
19 September 2005
Last Update Date
2 July 2021

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2154649599
Graduation Year
1987 (39 years ago)
PAC ID
4789609710
Group Practice PAC ID
0042109902
Professional Enrollment ID
I20101028001197

Contacts

Secure Messaging
douglas.kimmel.1@17399.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DOUGLAS KIMMEL (D.O.)

  • Townsend Road, Mechanicsville, Northeast Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19154, United States

    PHILADELPHIA, PA 191541201

    Phone:

    Type: Mailing

  • 23, Bustleton Pike, Feasterville-Trevose, Lower Southampton Township, Bucks County, Pennsylvania, 19053, United States

    SUITE 100

    FEASTERVILLE TREVOSE, PA 190536446

    Phone: (215) 464-9599

    Fax: (215) 464-7865

    Type: Location

  • 1648 HUNTINGDON PIKE

    MEDICAL STAFF OFFICE 1ST FLR

    MEADOWBROOK, PA 190468001

    Phone: (215) 938-3450

    Fax: (215) 938-3829

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $868.

Total Amount is formed as General ($868) + Research ($0) + Ownership ($0) = $868.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($222).

Total Amount

$868

General + Research + Ownership

Payments

49

Total payment records

General Amount

$868

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2010-10-28

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
I20101028001197IGeneral 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
99213Established patient office or other outpatient visit, 20-29 minutes427247$0
99214Established patient office or other outpatient visit, 30-39 minutes226176$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit221221$0
G0008Administration of influenza virus vaccine143139$0
90662Influenza vaccine split virus, preservative free133129$0
View full utilization report →

Insurance plans in this area (ZIP 19154)

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Provider's Procedures

DOUGLAS KIMMEL (D.O.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL PRACTICEPA90670Pneumococcal vaccine for injection into muscle3636

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: 0042109902View full group profile
NameSpecialtyState
Internal Medicine, Hematology/Oncology, Hospitalist, HospitalistVT
-PA
General SurgeryPA
-PA
-PA
Orthopedic Surgery, Hand Surgery, Physical Medicine And RehabilitationPA
-PA
Internal MedicinePA
-PA
General SurgeryPA

Reviews

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Frequently asked questions

What unique ID ties claims to DOUGLAS KIMMEL (D.O.)?
NPI 1891780631 is assigned to DOUGLAS KIMMEL (D.O.) under the national enumeration system.
Is DOUGLAS KIMMEL (D.O.)'s NPI currently valid?
The extract we use shows DOUGLAS KIMMEL (D.O.) as active.
What field does DOUGLAS KIMMEL (D.O.) work in?
You can think of DOUGLAS KIMMEL (D.O.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DOUGLAS KIMMEL (D.O.)'s primary listing?
We display Philadelphia, Pennsylvania because that is what the record indicates for DOUGLAS KIMMEL (D.O.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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