KIMBERLY D ROLLER (MD) – Family Medicine Physician, NPI 1457544868
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,210 FAMILY PRACTICE in TN
Provider Addresses for KIMBERLY D ROLLER (MD)
101 PROFESSIONAL PARK PVT DR
KINGSPORT, TN 376632288
Phone: (423) 239-7300
Fax: (423) 239-8581
Type: Mailing
390 Kane St
Gate City, VA 242512753
Phone: (276) 386-3411
Fax: (276) 386-3492
Type: Location
301 Med Tech Pkwy Ste 120
Johnson City, TN 376042631
Phone: (423) 794-5590
Fax: (423) 794-5877
Type: Location
1242 W SHIPLEY FERRY RD
KINGSPORT, TN 376633323
Phone: (423) 239-7300
Fax: (423) 239-7607
Type: Location
PO BOX 632476
CINCINNATI, OH 452632476
Phone: (423) 239-7300
Fax: (423) 239-7607
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $669.
Total Amount is formed as General ($669) + Research ($0) + Ownership ($0) = $669.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($199).
Total Amount
$669
General + Research + Ownership
Payments
52
Total payment records
General Amount
$669
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $199 |
| Lilly USA, LLC | $181 |
| Novo Nordisk Inc | $154 |
| AstraZeneca Pharmaceuticals LP | $59 |
| Lundbeck LLC | $23 |
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: 2013-08-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130829000309 | I | Family Practice | TN | 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 | 312 | 174 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 309 | 165 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 258 | 168 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 216 | 151 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 188 | 146 | $0 |
Insurance plans in this area (ZIP 37663)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | TN | 90670 | Pneumococcal vaccine for injection into muscle | 47 | 46 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Nurse Practitioner | VA | |
| Internal Medicine | OH | |
| Internal Medicine | OH | |
| - | TN | |
| - | TN | |
| - | TN | |
| Diagnostic Radiology | TN | |
| - | TN | |
| - | TN |
Reviews
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