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KIMBERLY A MARSHALL M.D.
NPI 1225099302
Obstetrics & Gynecology in West Burlington, IA

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
77.81/100
CMS Quality Rating
1223 S GEAR AVE, STE 208, WEST BURLINGTON, IA 52655(319) 752-4541(319) 752-2972 Get Directions Write a Review

NPPES record last updated: November 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly A Marshall M.d. NPPES

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

KIMBERLY A MARSHALL M.D. (NPI 1225099302) is an individual obstetrics & gynecology provider in West Burlington, Iowa, licensed in Iowa (34234) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of Southern Illinois University School Of Medicine (1997).

NPPES Registry Identity

NPI1225099302
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKIMBERLY A MARSHALLCredential: M.D.
Location Address1223 S GEAR AVE, STE 208West Burlington, IA 52655-1682
Mailing Address1223 S Gear Ave, Ste 208West Burlington, IA 52655-1682 · (319) 752-4541 · Fax (319) 752-2972
Phone(319) 752-4541
Fax(319) 752-2972
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1997
Enumeration DateMarch 29, 2006
Last NPPES UpdateNovember 6, 2012
✔ NPI 1225099302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IA · 34234
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.

1223 S GEAR AVE, West Burlington, IA 52655
Open in Google Maps ↗

Other Identifiers 5

OtherP00876866IA · Railroad Medicare
Medicare UPINH44828IA
Medicare PINI43730048IA
Other1225099302IA · Wellmark
Medicaid1225099302IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Kimberly A Marshall M.d. 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 ID42280869
PECOS Enrollment IDI20040729000232
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services37 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
40 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services24 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
18 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Henry County Health Center

Critical Access Hospitals · Mount Pleasant, IA
OwnershipGovernment - Local
CMS Certification Number161356
Location407 S White StMount Pleasant, IA 52641 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.62
Promoting Interoperability100
Improvement Activities40
Cost58.43

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.

JANETTE M SCHULZ ARNP
Nurse Practitioner (Women's Health)
1223 S GEAR AVE, STE 208
WEST BURLINGTON, IA 52655
Des Moines County (319) 752-4541
MICHAEL J MCCOY M.D.
Obstetrics & Gynecology
1223 S GEAR AVE, STE 208
WEST BURLINGTON, IA 52655
Des Moines County (319) 752-4541
AMERICAN PROSTHETICS & ORTHOTICS, INC.
Prosthetic/Orthotic Supplier
1223 S GEAR AVE, SUITE 011
WEST BURLINGTON, IA 52655
Des Moines County (319) 753-2822
JAMES A HENDRIX M.D.
Pediatrics
1223 S GEAR AVE, SUITE 108
WEST BURLINGTON, IA 52655
Des Moines County (319) 753-5177
ORTHOPEDICS & SPORTS MEDICINE PLC
Orthopaedic Surgery
1223 S GEAR AVE, EASTMAN PLAZA-SUITE 101
WEST BURLINGTON, IA 52655
Des Moines County (319) 753-5352
LINDA C MCCABE CPNP, ARNP
Nurse Practitioner
1223 S GEAR AVE, SUITE 108
WEST BURLINGTON, IA 52655
Des Moines County (319) 753-5177
MRS. BRANDY PARKER ARNP
Nurse Practitioner (Family)
1223 S GEAR AVE, EASTMAN PLAZA, SUITE 304
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-3200
DR. MARK L WOODARD D.O.
Internal Medicine (Cardiovascular Disease)
1223 S GEAR AVE, SUITE 109
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1820

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 Marshall's NPI number?

The NPI number for Kimberly Marshall is 1225099302. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Kimberly Marshall located?

Kimberly Marshall practices at 1223 S Gear Ave Ste 208, West Burlington, IA 52655. The listed phone number is (319) 752-4541.

What is Kimberly Marshall's specialty?

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

Is Kimberly Marshall enrolled in Medicare?

Yes. Kimberly Marshall 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 Kimberly Marshall accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Kimberly Marshall 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 Marshall affiliated with any hospitals?

According to CMS data, Kimberly Marshall is affiliated with Southeast Iowa Regional Medical Center and Henry County Health Center.

When was this NPI record last updated?

The NPPES record for Kimberly Marshall was last updated on November 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.