MRS. KIMBERLY BETH SIDERS PA-C
NPI 1104905751
Physician Assistant in Tampa, FL

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
15310 AMBERLY DR, SUITE 150, TAMPA, FL 33647(813) 978-8888(813) 972-8974 Get Directions Write a Review

NPPES record last updated: March 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kimberly Beth Siders Pa-c NPPES

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

MRS. KIMBERLY BETH SIDERS PA-C (NPI 1104905751) is an individual physician assistant in Tampa, Florida, licensed in Florida (PA9103918) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1104905751
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KIMBERLY BETH SIDERSCredential: PA-C
Location Address15310 AMBERLY DR, SUITE 150Tampa, FL 33647-2199
Mailing Address15051 S Tamiami Trl, Suite 203Fort Myers, FL 33908-5182 · (239) 437-8810 · Fax (239) 313-2555
Fax(813) 972-8974
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 3, 2006
Last NPPES UpdateMarch 10, 2017
NPI 1104905751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9103918
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

15310 AMBERLY DR, Tampa, FL 33647

Other Identifiers 1

Medicare PINAD578YFL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kimberly Beth Siders Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587755699
PECOS Enrollment IDI20070803000288
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.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,428 services219 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
637 services418 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
416 services281 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
310 services237 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
243 services198 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
117 services76 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33647 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

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

Dermatology
15310 AMBERLY DR, SUITE 150
TAMPA, FL 33647
Counselor (Mental Health)
15310 AMBERLY DR, SUITE 250
TAMPA, FL 33647
Psychiatry & Neurology (Psychiatry)
15310 AMBERLY DR, STE 250
TAMPA, FL 33647
Licensed Practical Nurse
15310 AMBERLY DR
TAMPA, FL 33647
Specialist
15310 AMBERLY DR, SUITE 150
TAMPA, FL 33647
Dermatology
15310 AMBERLY DR, SUITE 150
TAMPA, FL 33647
Psychiatry & Neurology (Psychiatry)
15310 AMBERLY DR
TAMPA, FL 33647
Counselor (Mental Health)
15310 AMBERLY DR, SUITE 250
TAMPA, FL 33647

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 Siders's NPI number?

The NPI number for Kimberly Siders is 1104905751. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Kimberly Siders located?

Kimberly Siders practices at 15310 Amberly Dr Suite 150, Tampa, FL 33647. The listed phone number is (813) 978-8888.

What is Kimberly Siders's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Siders enrolled in Medicare?

Yes. Kimberly Siders is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberly Siders accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida list Kimberly Siders 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 Siders was last updated on March 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.