KIMBERLY A TABOR (D.O.) – Family Medicine Physician, NPI 1609869684

KIMBERLY A TABOR (D.O.) is a healthcare provider. based in Cookeville, Tennessee. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 1379 (TN). The NPI Number for KIMBERLY A TABOR (D.O.) is 1609869684

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY A TABOR (D.O.)
NPI
1609869684
Phone
(931) 526-4600
Address
1120 Walnut Commons Lane
Enumeration Date
25 August 2005
Last Update Date
2 June 2026

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
6152694200
Graduation Year
1997 (29 years ago)
PAC ID
7517994148
Group Practice PAC ID
4284915604
Professional Enrollment ID
I20050725001191
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for KIMBERLY A TABOR (D.O.)

  • 1120 Walnut Commons Lane

    Suite C

    Cookeville, TN 385014243

    Phone: (931) 526-4600

    Fax: (931) 526-4512

    Type: Location

  • 1776, Woodstead Court, Grogan's Mill, The Woodlands, Montgomery County, Texas, 77380, United States

    STE 208

    THE WOODLANDS, TX 773801480

    Phone: (877) 749-7428

    Fax: (512) 628-3314

    Type: Mailing

  • 1120 WALNUT COMMONS LANE

    SUITE C

    COOKEVILLE, TN 385014243

    Phone: (931) 526-4600

    Fax: (931) 526-4512

    Type: Location

  • 1776 WOODSTEAD CT STE 208

    THE WOODLANDS, TX 773801480

    Phone: (877) 749-7428

    Fax: (512) 628-3314

    Type: Mailing

  • 185 Hospital Rd

    Winchester, TN 373982404

    Phone: (877) 749-7428

    Type: Location

  • 1559 SPARTA ST

    MCMINNVILLE, TN 371101316

    Phone: (931) 815-4000

    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: 2005-07-25

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
I20050725001191IFamily PracticeTNTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1,300147$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes150141$0
99239Hospital discharge day management, more than 30 minutes140131$0
View full utilization report →

Insurance plans in this area (ZIP 38501)

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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: 4284915604View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationTN
Physical Medicine And Rehabilitation, Sports MedicineTN
Physical Medicine And RehabilitationTX
Physical Medicine And RehabilitationTN
Physical Medicine And RehabilitationTN
Physical Medicine And RehabilitationTN
Physical Medicine And RehabilitationTX
Physical Medicine And RehabilitationSC
Physical Medicine And RehabilitationTN
Physical Medicine And RehabilitationTX

Reviews

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Frequently asked questions

Does KIMBERLY A TABOR (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KIMBERLY A TABOR (D.O.) uses 1609869684.
Is KIMBERLY A TABOR (D.O.) still practicing?
KIMBERLY A TABOR (D.O.) is currently listed as active in the public NPI registry.
What is KIMBERLY A TABOR (D.O.)'s specialty?
The listing groups KIMBERLY A TABOR (D.O.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is KIMBERLY A TABOR (D.O.) based?
KIMBERLY A TABOR (D.O.) is tied to Cookeville, Tennessee in the data we show; additional addresses may exist on the full record.
Is the information about KIMBERLY A TABOR (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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