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KIMBERLY SUZANNE CHURBOCK M.D.
NPI 1023351749
Pediatrics in Olmsted Twp, OH

Active since April 01, 2013PECOS Enrolled
27089 BAGLEY RD, OLMSTED TWP, OH 44138(440) 234-4700 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2021, Mar 21, 2017 (2 updates tracked since 2017).

About Kimberly Suzanne Churbock M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY SUZANNE CHURBOCK M.D. (NPI 1023351749) is an individual pediatrics provider in Olmsted Twp, Ohio, licensed in Ohio (130218) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023351749
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKIMBERLY SUZANNE CHURBOCKCredential: M.D.
Location Address27089 BAGLEY RDOlmsted Twp, OH 44138-1103
Mailing Address4305 John AveCleveland, OH 44113-3281 · (330) 962-9033
Phone(440) 234-4700
Sole ProprietorNo
Enumeration DateApril 1, 2013
Last NPPES UpdateJuly 13, 20212 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
✔ NPI 1023351749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 130218
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
27089 BAGLEY RD, Olmsted Twp, OH 44138
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Other Names 1

Other Name (5)Kimberly Suzanne Soukup

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Suzanne Churbock M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Churbock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Cleveland Clinic Foundation
7.4 mi
Family Medicine
36040 DETROIT RD, STE A
Avon, OH 44011
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group
NPI 1184428336 (886) 636-3318

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44138 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE CLEVELAND CLINIC FOUNDATION
General Practice
27089 BAGLEY RD
OLMSTED TWP, OH 44138
Cuyahoga County (216) 444-2273
DR. ARIELLE KAMPS M.D., R.D.
Internal Medicine
27089 BAGLEY RD
OLMSTED TWP, OH 44138
Cuyahoga County (216) 387-2619
MRS. ALEXA LEE LAMORGESE APRN
Nurse Practitioner
27089 BAGLEY RD
OLMSTED TWP, OH 44138
Cuyahoga County (440) 234-4700
CRISTINE L FRUITS PA
Physician Assistant (Medical)
27089 BAGLEY RD
OLMSTED TWP, OH 44138
Cuyahoga County (440) 234-4700
JENNIFER L. WILLIAMS MSN, FNP-C
Nurse Practitioner (Family)
27089 BAGLEY RD
OLMSTED TWP, OH 44138
Cuyahoga County (440) 234-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Churbock's NPI number?

The NPI number for Kimberly Churbock is 1023351749. It was assigned to this individual provider in the NPPES registry on April 1, 2013. The provider is also known as Kimberly Suzanne Soukup.

Where is Kimberly Churbock located?

Kimberly Churbock practices at 27089 Bagley Rd, Olmsted Twp, OH 44138. The listed phone number is (440) 234-4700.

What is Kimberly Churbock's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kimberly Churbock enrolled in Medicare?

Yes. Kimberly Churbock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Churbock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Churbock reassigns Medicare benefits to The Cleveland Clinic Foundation (Avon, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Churbock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Churbock accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Corporation of Ohio list Kimberly Churbock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Churbock was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.