KIMBERLY MCKINNON DO
NPI 1124257241
Family Medicine in Downers Grove, IL
About Kimberly Mckinnon Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY MCKINNON DO (NPI 1124257241) is an individual family medicine provider in Downers Grove, Illinois, licensed in Illinois (036129662) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Advocate Good Samaritan Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2009).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimberly Mckinnon Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Mckinnon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Downers Grove, IL 60515
- Reassigned Medicare billing, Illinois enrollment
- 50 clinicians in this Medicare group
Lisle, IL 60532
- Reassigned Medicare billing, Illinois enrollment
- 561 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Advocate Good Samaritan Hospital
Acute Care Hospitals · Downers Grove, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60515 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
DOWNERS GROVE, IL 60515
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 Mckinnon's NPI number?
The NPI number for Kimberly Mckinnon is 1124257241. It was assigned to this individual provider in the NPPES registry on July 10, 2009.
Where is Kimberly Mckinnon located?
Kimberly Mckinnon practices at 3450 Lacey Rd, Downers Grove, IL 60515. The listed phone number is (630) 743-4500.
What is Kimberly Mckinnon's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kimberly Mckinnon enrolled in Medicare?
Yes. Kimberly Mckinnon 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.
Which organizations bill Medicare for Kimberly Mckinnon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Mckinnon reassigns Medicare benefits to 2 organizations: Midwestern University (Downers Grove, IL) and Edward Health Ventures (Lisle, IL). Each 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 Mckinnon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Mckinnon accept?
Health plans from UnitedHealthcare list Kimberly Mckinnon 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.
Is Kimberly Mckinnon affiliated with any hospitals?
According to CMS data, Kimberly Mckinnon is affiliated with Advocate Good Samaritan Hospital.
When was this NPI record last updated?
The NPPES record for Kimberly Mckinnon was last updated on December 16, 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.
# Kimberly Mckinnon, DO · NPI 1124257241
Family Medicine physician in Downers Grove, Illinois. Individual provider, active in the CMS NPPES registry since July 10, 2009.
## Identity
- **NPI:** 1124257241 (Entity type: Individual)
- **Enumerated:** July 10, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036129662 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3450 LACEY RD, Downers Grove, IL 60515-5430
- **Phone:** (630) 743-4500 · **Fax:** (630) 743-4537
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Midwestern University (NPI 1295126324, Downers Grove, IL); Edward Health Ventures (NPI 1174573109, Lisle, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 2009
## Record status
- **NPPES last updated:** December 16, 2022
- **Other identifiers:** Medicaid 036129662 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1124257241) · Data from the CMS NPPES public registry.