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CARL MCCAMEY KIMBLER DMD MD
NPI 1104984483
Dentist - Oral and Maxillofacial Surgery in Aberdeen, SD

Active since December 05, 2006Opted out of Medicare · through Nov 14, 2027
820 1ST AVE SE, SUITE 400, ABERDEEN, SD 57401(605) 225-9362(605) 229-7317 Get Directions Write a Review

NPPES record last updated: March 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carl Mccamey Kimbler Dmd Md NPPES

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

CARL MCCAMEY KIMBLER DMD MD (NPI 1104984483) is an individual oral and maxillofacial surgery provider in Aberdeen, South Dakota, licensed in South Dakota (M862) and active in the NPI registry since December 2006. He has opted out of Medicare through November 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104984483
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameCARL MCCAMEY KIMBLERCredential: DMD MD
Location Address820 1ST AVE SE, SUITE 400Aberdeen, SD 57401-4601
Mailing Address820 1st Ave Se, Suite 400Aberdeen, SD 57401-4601 · (605) 225-9362 · Fax (605) 229-7317
Phone(605) 225-9362
Fax(605) 229-7317
Sole ProprietorNo
Enumeration DateDecember 5, 2006
Last NPPES UpdateMarch 25, 2013
✔ NPI 1104984483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in SD · M862✔ Licensed in SD · SD4237
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
820 1ST AVE SE, Aberdeen, SD 57401
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINU67637
Medicaid41240ND
Medicare ID-Type Unspecified6084SD
Medicaid8000400SD
Other0006084SD · Blue Cross

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carl Mccamey Kimbler Dmd Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 14, 2013 through November 14, 2027.

Opt-Out Effective DateNovember 14, 2013
Opt-Out In Effect ThroughNovember 14, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57401 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

Other Providers at the Same Location NPPES

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

NORTHERN PLAINS ORAL AND MAXILLOFACIAL SURGERY LLC
Dentist (Oral and Maxillofacial Surgery)
820 1ST AVE SE, SUITE 400
ABERDEEN, SD 57401
Brown County (605) 225-9362

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 Carl Kimbler's NPI number?

The NPI number for Carl Kimbler is 1104984483. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Carl Kimbler located?

Carl Kimbler practices at 820 1st Ave SE Suite 400, Aberdeen, SD 57401. The listed phone number is (605) 225-9362.

What is Carl Kimbler's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Carl Kimbler enrolled in Medicare?

No. Carl Kimbler has opted out of Medicare through November 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carl Kimbler was last updated on March 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.