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KOBY KIMBALL PA-C
NPI 1184338550
Physician Assistant in Springfield, IL

Active since January 10, 2023PECOS EnrolledAccepts Medicare Assignment
619 E MASON ST, SPRINGFIELD, IL 62701(217) 788-0706(217) 525-2535 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2025, Sep 3, 2025, Jan 10, 2023 (3 updates tracked since 2023).

About Koby Kimball Pa-c NPPES

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

KOBY KIMBALL PA-C (NPI 1184338550) is an individual physician assistant in Springfield, Illinois and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1184338550
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKOBY KIMBALLCredential: PA-C
Location Address619 E MASON STSpringfield, IL 62701-1034
Mailing Address619 E Mason StSpringfield, IL 62701-1034 · (217) 788-0706 · Fax (217) 525-2535
Phone(217) 788-0706
Fax(217) 525-2535
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 10, 2023
Last NPPES UpdateSeptember 16, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1184338550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
619 E MASON ST, Springfield, IL 62701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Koby Kimball Pa-c 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 ID3476052473
PECOS Enrollment IDI20250818000587
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.

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

CARL E ARENTZEN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
619 E MASON ST, SUITE 3P25
SPRINGFIELD, IL 62701
Sangamon County (217) 545-7600
STEPHEN H JENNISON M.D.
Specialist
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Sangamon County (217) 788-0706
DR. GEORGE EROMOSELE EIGBIRE M.D.
Internal Medicine (Interventional Cardiology)
619 E MASON ST
SPRINGFIELD, IL 62701
Sangamon County (217) 788-0706
SHAILESH S NANDISH M.D.
Internal Medicine (Interventional Cardiology)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Sangamon County (217) 788-0706
BART L TROY M.D.
Specialist
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Sangamon County (217) 788-0706
MARGIE DOUGLAS
Nurse Practitioner (Adult Health)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Sangamon County (217) 788-0706
JENNIFER K BLACK N.P.
Nurse Practitioner (Adult Health)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Sangamon County (217) 788-0706
MEREDITH FLEMING
Nurse Practitioner (Family)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Sangamon County (217) 788-0706

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 Koby Kimball's NPI number?

The NPI number for Koby Kimball is 1184338550. It was assigned to this individual provider in the NPPES registry on January 10, 2023.

Where is Koby Kimball located?

Koby Kimball practices at 619 E Mason St, Springfield, IL 62701. The listed phone number is (217) 788-0706.

What is Koby Kimball's specialty?

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

Is Koby Kimball enrolled in Medicare?

Yes. Koby Kimball 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.

What insurance does Koby Kimball accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Koby Kimball 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 Koby Kimball affiliated with any hospitals?

According to CMS data, Koby Kimball is affiliated with St Johns Hospital.

When was this NPI record last updated?

The NPPES record for Koby Kimball was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.