KIMBERLY MIDDLETON (M.D.) – Family Medicine Physician, NPI 1619944857

KIMBERLY MIDDLETON (M.D.) is a healthcare provider. based in Garland, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036103921 (IL). The NPI Number for KIMBERLY MIDDLETON (M.D.) is 1619944857

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY MIDDLETON (M.D.)
NPI
1619944857
Phone
(972) 495-7224
Address
4170 LAVON DR STE 146
Enumeration Date
7 March 2006
Last Update Date
15 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8666072308
Graduation Year
1997 (29 years ago)
PAC ID
0648176495
Group Practice PAC ID
8022334481
Professional Enrollment ID
I20200226001507
Address ID
TX750136114AL1105XNXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for KIMBERLY MIDDLETON (M.D.)

  • 4170 LAVON DR STE 146

    GARLAND, TX 750402975

    Phone: (972) 495-7224

    Fax: (972) 495-2224

    Type: Mailing

  • 2001, Butterfield Road, Downers Grove, DuPage County, Illinois, 60148:60515, United States

    STE 300

    DOWNERS GROVE, IL 605151069

    Phone: (630) 725-2700

    Type: Mailing

  • 17859, South 80th Avenue, Tinley Park, Orland Township, Cook County, Illinois, 60477, United States

    TINLEY PARK, IL 604775023

    Phone: (708) 709-9600

    Fax: (708) 756-4026

    Type: Location

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 $210.

Total Amount is formed as General ($210) + Research ($0) + Ownership ($0) = $210.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Tactile Systems Technology Inc ($173).

Total Amount

$210

General + Research + Ownership

Payments

3

Total payment records

General Amount

$210

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

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: 2020-02-26

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
I20200226001507IFamily PracticeTXTBD

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
93971Ultrasound study of one arm or leg veins with compression and maneuvers10234$0
99212Established patient office or other outpatient visit, 10-19 minutes9428$0
76942Ultrasonic guidance for needle placement7326$0
93970Ultrasound study of arm or leg veins with compression and maneuvers6860$0
99203New patient office or other outpatient visit, 30-44 minutes5555$0
View full utilization report →

Insurance plans in this area (ZIP 75040)

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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: 8022334481View full group profile
NameSpecialtyState
Family PracticeTX
General SurgeryIL
Family PracticeTX
Emergency MedicineFL
Nurse PractitionerTX
Internal MedicineMI
Family PracticeNY
Internal MedicineLA
General SurgeryMI

Reviews

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Frequently asked questions

What is KIMBERLY MIDDLETON (M.D.)'s NPI number?
KIMBERLY MIDDLETON (M.D.)'s NPI is 1619944857 — the number used across U.S. healthcare to identify this provider.
Would KIMBERLY MIDDLETON (M.D.) appear as active to a payer?
You can treat KIMBERLY MIDDLETON (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for KIMBERLY MIDDLETON (M.D.)?
At a glance, KIMBERLY MIDDLETON (M.D.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is KIMBERLY MIDDLETON (M.D.) registered?
Use Garland, Texas as the headline location for KIMBERLY MIDDLETON (M.D.) here.
When was this NPI issued?
Enumeration for KIMBERLY MIDDLETON (M.D.) is noted as March 7, 2006 where the registry provides it.

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