KIMBERLY RUIZ (PA-C) – Physician Assistant, NPI 1720405822
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,497 PHYSICIAN ASSISTANT in TX
Provider Addresses for KIMBERLY RUIZ (PA-C)
11212 TX 151 Medical Plaza 1 Ste. 260
SAN ANTONTIO, TX 78251
Phone: (210) 951-9055
Type: Location
189 E Austin St Ste 101
New Braunfels, TX 781304170
Phone: (210) 951-9055
Type: Location
2829 Babcock Rd Ste And109
San Antonio, TX 782296028
Phone: (210) 951-9055
Type: Location
6 STONEWALL BND
SAN ANTONIO, TX 782561618
Phone:
Type: Mailing
20770 US HIGHWAY 281 N # 108-439
SAN ANTONIO, TX 782587655
Phone: (210) 802-4662
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $6,184.
Total Amount is formed as General ($3,184) + Research ($3,000) + Ownership ($0) = $6,184.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Intrinsic Therapeutics ($5,898).
Total Amount
$6,184
General + Research + Ownership
Payments
43
Total payment records
General Amount
$3,184
General payments
Research Amount
$3,000
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intrinsic Therapeutics | $5,898 |
| SI-BONE, INC. | $155 |
| Boston Scientific Corporation | $117 |
| Orthofix Medical, Inc. | $14 |
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: 2014-06-19
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 |
|---|---|---|---|---|
| I20140619001670 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 44 | 29 | $0 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 28 | 28 | $0 |
| 22612 | Fusion of spine in lower back | 12 | 12 | $0 |
Insurance plans in this area (ZIP 78251)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TX | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 22 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | TX | |
| Orthopedic Surgery | TX | |
| Physical Therapist In Private Practice | TX | |
| Orthopedic Surgery | TX | |
| A N E S T H E S I O L O G Y | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX |
Reviews
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