KIMBERLY NICOLE PAGE (M.D.) – Family Medicine Physician, NPI 1215111273
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,137 FAMILY PRACTICE in UT
Provider Addresses for KIMBERLY NICOLE PAGE (M.D.)
22 S State St
Clearfield, UT 840151043
Phone: (801) 393-5355
Fax: (801) 394-4609
Type: Location
701 E Marshall Ave Ste 400
Longview, TX 756015595
Phone: (903) 315-5600
Type: Location
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752841656
Phone: (903) 324-6400
Type: Mailing
1718, South Henderson Boulevard, Kilgore, Gregg County, Texas, 75662, United States
KILGORE, TX 756623544
Phone: (903) 983-2110
Type: Location
PO BOX 846098
DALLAS, TX 752846098
Phone: (903) 606-6400
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2015-08-12
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 |
|---|---|---|---|---|
| I20150812008391 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 336 | 170 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 153 | 153 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 53 | $0 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 18 | 14 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 17 | 16 | $0 |
Insurance plans in this area (ZIP 84015)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AZ | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| E N D O C R I N O L O G Y | TX | |
| Nurse Practitioner | IL | |
| - | NC | |
| Physician Assistant | LA | |
| Hospitalist, Gastroenterology | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.