KYLE CLARK KIMBAL (M.D., M.S.) – Surgery Physician, NPI 1104205442
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
492 VASCULAR SURGERY in TX
Provider Addresses for KYLE CLARK KIMBAL (M.D., M.S.)
2401 S 31ST ST
TEMPLE, TX 765080001
Phone: (801) 710-4222
Type: Location
1220 SUNRISE PL
BOUNTIFUL, UT 840103212
Phone: (801) 710-4222
Type: Mailing
1380 E MEDICAL CENTER DR STE 4500
ST GEORGE, UT 847902123
Phone: (435) 251-2501
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $4,357.
Total Amount is formed as General ($4,357) + Research ($0) + Ownership ($0) = $4,357.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Penumbra, Inc. ($2,040).
Total Amount
$4,357
General + Research + Ownership
Payments
46
Total payment records
General Amount
$4,357
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $2,040 |
| Endologix LLC | $743 |
| Silk Road Medical, Inc. | $526 |
| Bolton Medical Inc | $217 |
| W. L. Gore & Associates, Inc. | $170 |
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: 2024-11-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20200514001019 | I | General Surgery | TX | TBD |
| I20220915001701 | I | Vascular Surgery | UT | TBD |
| I20230320000249 | I | Vascular Surgery | NV | TBD |
| I20241120001112 | I | Vascular Surgery | AK | 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 |
|---|---|---|---|---|
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 182 | 175 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 107 | 103 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 101 | 95 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 38 | 38 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 31 | 31 | $0 |
Insurance plans in this area (ZIP 76508)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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