DR. KIMBERLEY JAYNE SAMPSON (M.D.) – Obesity Medicine (Obstetrics & Gynecology) Physician, NPI 1013271451

DR. KIMBERLEY JAYNE SAMPSON (M.D.) is a healthcare provider. based in Bennington, Vermont. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 125060658 (IL). The NPI Number for DR. KIMBERLEY JAYNE SAMPSON (M.D.) is 1013271451

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLEY JAYNE SAMPSON (M.D.)
NPI
1013271451
Phone
(802) 442-9600
Address
140 HOSPITAL DR
Enumeration Date
29 June 2012
Last Update Date
14 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
7214240043
Group Practice PAC ID
0143138446
Professional Enrollment ID
I20150722004308
Address ID
VT052015018BE140XXDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

1,925 OBSTETRICS/GYNECOLOGY in IL

Provider Addresses for DR. KIMBERLEY JAYNE SAMPSON (M.D.)

  • 140 HOSPITAL DR

    BENNINGTON, VT 052015009

    Phone: (802) 442-9600

    Type: Mailing

  • 2801 N OAKLEY AVE

    APT 101

    CHICAGO, IL 606188088

    Phone: (314) 406-4060

    Type: Mailing

  • 1501 S CALIFORNIA AVE

    CHICAGO, IL 606081732

    Phone: (773) 257-5286

    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: 2015-07-22

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
I20150722004308IObstetrics/GynecologyVTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10478$0
99214Established patient office or other outpatient visit, 30-39 minutes8352$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination4848$0
99215Established patient office or other outpatient visit, 40-54 minutes1815$0
View full utilization report →

Insurance plans in this area (ZIP 05201)

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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: 0143138446View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KIMBERLEY JAYNE SAMPSON (M.D.)'s NPI?
Yes. DR. KIMBERLEY JAYNE SAMPSON (M.D.) is listed with NPI 1013271451 in the public NPI dataset.
Is DR. KIMBERLEY JAYNE SAMPSON (M.D.) listed as active for patients and plans?
The listing shows DR. KIMBERLEY JAYNE SAMPSON (M.D.) as active in the NPI system.
What healthcare role does DR. KIMBERLEY JAYNE SAMPSON (M.D.) hold?
Scheduling teams often label DR. KIMBERLEY JAYNE SAMPSON (M.D.) under Obesity Medicine (Obstetrics & Gynecology) Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KIMBERLEY JAYNE SAMPSON (M.D.) on a map?
Expect Bennington, Vermont as a primary anchor for DR. KIMBERLEY JAYNE SAMPSON (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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