KIMBERLY MICHELE BERRY-DIVINAGRACIA PA-C
NPI 1205059086
Physician Assistant in La Jolla, CA

Q: What is Kimberly Berry-divinagracia's NPI number?

The NPI number for Kimberly Berry-divinagracia is 1205059086. It was assigned to this individual provider in the NPPES registry on April 10, 2007. The provider is also known as Mrs. Kimberly M Berry Pa-C.

Q: What is Kimberly Berry-divinagracia's specialty?

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

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment

10666 N TORREY PINES RD, MAIL DROP MC 100C, LA JOLLA, CA 92037(858) 678-6886 Get Directions Write a Review

NPPES record last updated: January 27, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Kimberly Michele Berry-divinagracia Pa-c NPPES

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

KIMBERLY MICHELE BERRY-DIVINAGRACIA PA-C (NPI 1205059086) is an individual physician assistant in La Jolla, California, licensed in California (19019) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1205059086

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKIMBERLY MICHELE BERRY-DIVINAGRACIACredential: PA-C

Location Address10666 N TORREY PINES RD, MAIL DROP MC 100CLa Jolla, CA 92037-1027

Mailing AddressFile # 54433Los Angeles, CA 90074-4433 · (858) 678-6886

Phone(858) 678-6886

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateApril 10, 2007

Last NPPES UpdateJanuary 27, 2012

✔ NPI 1205059086 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 CA · 19019

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.

10666 N TORREY PINES RD, La Jolla, CA 92037

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Other Names 1

Professional Name (2)Mrs. Kimberly M Berry Pa-c

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

Kimberly Michele Berry-divinagracia 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 ID1658468392

PECOS Enrollment IDI20071029000209

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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

158 services68 patients

Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older 36573

This procedure involves placing a tube into a vein for medication or fluid delivery. Imaging guidance helps ensure correct placement, while a radiologist reviews the process for safety. It's suitable for patients aged 5 and above.

29 services29 patients

Drainage of fluid from abdominal cavity using imaging guidance 49083

This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.

26 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

MRS. SUSAN ELIZABETH MCKIM PA-C

Physician Assistant (Medical)