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DR. KIMBERLY ELISE PORTALE D.O.
NPI 1134482656
Obstetrics & Gynecology in O Fallon, IL

Active since June 19, 2012PECOS EnrolledAccepts Medicare Assignment
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269(618) 234-2120 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2024, Oct 6, 2021 (2 updates tracked since 2021).

About Dr. Kimberly Elise Portale D.o. NPPES

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

DR. KIMBERLY ELISE PORTALE D.O. (NPI 1134482656) is an individual obstetrics & gynecology provider in O Fallon, Illinois, licensed in California (20A13356) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Hshs St Elizabeth's Hospital, and maintains a secondary practice location in Scott Afb.

NPPES Registry Identity

NPI1134482656
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KIMBERLY ELISE PORTALECredential: D.O.
Location Address1 SAINT ELIZABETH BLVDO Fallon, IL 62269-1099
Mailing Address1 Saint Elizabeth BlvdO Fallon, IL 62269-1099 · (618) 234-2120
Phone(618) 234-2120
Sole ProprietorNo
Medical School CMSKansas City College Of Medicine And SurgeryGraduated 2012
Enumeration DateJune 19, 2012
Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1134482656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · 20A13356
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 SAINT ELIZABETH BLVD, O Fallon, IL 62269
Open in Google Maps ↗

Secondary Practice Location 1

Location 1310 W Losey StScott AFB, IL 62225-5250 · Phone (618) 256-7018

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

Dr. Kimberly Elise Portale D.o. 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 ID3971826728
PECOS Enrollment IDI20240826000509
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

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

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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 20

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

ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Rehabilitation Unit
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
KATHRYN LOHMAN PA-S
Student in an Organized Health Care Education/Training Program
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
MS. SHAMBRA CULLUM APN
Nurse Practitioner (Family)
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (217) 994-1485
ATA U. SIDDIQUI M.D.
Anesthesiology
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
DR. VINCENT JOSEPH DUENAS MD
Hospitalist
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
CAITLIN ALONZO
Nurse Practitioner
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
CEP AMERICA-ILLINOIS HOSPITALISTS, LLP
Internal Medicine
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
JENNIFER L CRIPPS CRNA
Nurse Anesthetist, Certified Registered
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120

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 Portale's NPI number?

The NPI number for Kimberly Portale is 1134482656. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Kimberly Portale located?

Kimberly Portale practices at 1 Saint Elizabeth Blvd, O Fallon, IL 62269. The listed phone number is (618) 234-2120.

What is Kimberly Portale's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kimberly Portale enrolled in Medicare?

Yes. Kimberly Portale 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.

Is Kimberly Portale affiliated with any hospitals?

According to CMS data, Kimberly Portale is affiliated with Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Portale was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.