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SEAN L KIMBALL DO
NPI 1124169453
Family Medicine in Saratoga Springs, NY

Active since February 09, 2007Opted out of Medicare · through Feb 17, 2027
434 CHURCH ST, SARATOGA SPRINGS, NY 12866(518) 769-2893(518) 207-4487 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2022, Sep 26, 2019 (2 updates tracked since 2019).

About Sean L Kimball Do NPPES

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

SEAN L KIMBALL DO (NPI 1124169453) is an individual family medicine provider in Saratoga Springs, New York, licensed in New York (249528) and active in the NPI registry since February 2007. He has opted out of Medicare through February 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124169453
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSEAN L KIMBALLCredential: DO
Location Address434 CHURCH STSaratoga Springs, NY 12866-8627
Mailing Address434 Church StSaratoga Springs, NY 12866-8627 · (518) 769-2893 · Fax (518) 207-4487
Phone(518) 769-2893
Fax(518) 207-4487
Sole ProprietorNo
Enumeration DateFebruary 9, 2007
Last NPPES UpdateDecember 7, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2022
✔ NPI 1124169453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 249528
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
434 CHURCH ST, Saratoga Springs, NY 12866
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Other Identifiers 2

Medicaid03028888NY
OtherP00642757NY · Rr Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Sean L Kimball Do 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 February 17, 2023 through February 17, 2027.

Opt-Out Effective DateFebruary 17, 2023
Opt-Out In Effect ThroughFebruary 17, 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 12866 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Sean Kimball's NPI number?

The NPI number for Sean Kimball is 1124169453. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Sean Kimball located?

Sean Kimball practices at 434 Church St, Saratoga Springs, NY 12866. The listed phone number is (518) 769-2893.

What is Sean Kimball's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sean Kimball enrolled in Medicare?

No. Sean Kimball has opted out of Medicare through February 17, 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 Sean Kimball was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.