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KIMBERLY SAMANTHA DOCTOR PA-C
NPI 1285395905
Physician Assistant in Norfolk, VA

Active since January 05, 2022PECOS EnrolledAccepts Medicare Assignment
850 KEMPSVILLE RD STE 100E, NORFOLK, VA 23502(757) 261-5744(757) 261-0321 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2025, Sep 9, 2022, Jan 5, 2022 (3 updates tracked since 2022).

About Kimberly Samantha Doctor Pa-c NPPES

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

KIMBERLY SAMANTHA DOCTOR PA-C (NPI 1285395905) is an individual physician assistant in Norfolk, Virginia, licensed in Virginia (0110008725) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (2022).

NPPES Registry Identity

NPI1285395905
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY SAMANTHA DOCTORCredential: PA-C
Location Address850 KEMPSVILLE RD STE 100ENorfolk, VA 23502-3920
Mailing Address850 Kempsville Rd Ste 100eNorfolk, VA 23502-3920 · (757) 261-5744 · Fax (757) 261-0321
Phone(757) 261-5744
Fax(757) 261-0321
Sole ProprietorYes
Medical School CMSEastern Virginia Medical SchoolGraduated 2022
Enumeration DateJanuary 5, 2022
Last NPPES UpdateJune 11, 20263 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1285395905 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 VA · 0110008725
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.
850 KEMPSVILLE RD STE 100E, Norfolk, VA 23502
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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 Samantha Doctor 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 ID8527423847
PECOS Enrollment IDI20230420000847
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 10

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
174 services81 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
89 services83 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
78 services78 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.
77 services67 patients
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.
68 services58 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
62 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23502 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 4

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

LAKSHMI GANTI GOUDAR M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
850 KEMPSVILLE RD STE 100E
NORFOLK, VA 23502
Norfolk City (757) 261-4121
BARBARA LIDIA MOLS-KOWALCZEWSKI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
850 KEMPSVILLE RD STE 100E
NORFOLK, VA 23502
Norfolk City (757) 261-5744
RATNASIRI GUNAWARDENA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
850 KEMPSVILLE RD STE 100E
NORFOLK, VA 23502
Norfolk City (757) 261-5744
DR. GHANDI MUKHUL SAADEH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
850 KEMPSVILLE RD STE 100E
NORFOLK, VA 23502
Norfolk City (757) 261-5976

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 Doctor's NPI number?

The NPI number for Kimberly Doctor is 1285395905. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Where is Kimberly Doctor located?

Kimberly Doctor practices at 850 Kempsville Rd Ste 100E, Norfolk, VA 23502. The listed phone number is (757) 261-5744.

What is Kimberly Doctor's specialty?

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

Is Kimberly Doctor enrolled in Medicare?

Yes. Kimberly Doctor 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.

When was this NPI record last updated?

The NPPES record for Kimberly Doctor was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.