BENJAMIN RAY KIMBALL PA
NPI 1114409893
Physician Assistant in Wichita, KS

Q: What is Benjamin Kimball's NPI number?

The NPI number for Benjamin Kimball is 1114409893. It was assigned to this individual provider in the NPPES registry on August 30, 2018.

Q: What is Benjamin Kimball's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Benjamin Kimball was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since August 30, 2018PECOS EnrolledAccepts Medicare Assignment

550 N HILLSIDE ST, WICHITA, KS 67214(316) 962-2000 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2025, Aug 30, 2018 (2 updates tracked since 2018).

On this page

About Benjamin Ray Kimball Pa NPPES

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

BENJAMIN RAY KIMBALL PA (NPI 1114409893) is an individual physician assistant in Wichita, Kansas, licensed in Kansas (15-02118) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Wesley Medical Center, and maintains a secondary practice location in Kingman.

NPPES Registry Identity

NPI1114409893

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBENJAMIN RAY KIMBALLCredential: PA

Location Address550 N HILLSIDE STWichita, KS 67214-4910

Mailing Address550 N Hillside StWichita, KS 67214-4910 · (316) 962-2000

Phone(316) 962-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 30, 2018

Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2025

✔ NPI 1114409893 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 KS · 15-02118

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.

550 N HILLSIDE ST, Wichita, KS 67214

Open in Google Maps ↗

Secondary Practice Location 1

Location 1750 W D AveKingman, KS 67068-1266 · Phone (620) 532-3147

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Medica, UnitedHealthcare.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

Benjamin Ray Kimball Pa 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 ID4183976822

PECOS Enrollment IDI20181009000777

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wesley Medical Center

Acute Care Hospitals · Wichita, KS

5/5 CMS rating

OwnershipProprietary

CMS Certification Number170123

Location550 N Hillside StreetWichita, KS 67214 · Sedgwick County

Emergency services Birthing friendly

Decatur Health

Critical Access Hospitals · Oberlin, KS

OwnershipVoluntary non-profit - Private

CMS Certification Number171352

Location810 W Columbia StreetOberlin, KS 67749 · Decatur County

Emergency services

Kingman Healthcare Center

Critical Access Hospitals · Kingman, KS

OwnershipVoluntary non-profit - Private

CMS Certification Number171378

Location750 W Ave DKingman, KS 67068 · Kingman County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67214 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

92%588 patients3/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%23 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

64%357 patients3/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

75%357 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

1%357 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

6%357 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KATHRYN WATKINS BRICKMAN MD

Hospitalist