KIMBERLY A MISAMORE MD
NPI 1306170642
Obstetrics & Gynecology in Mansfield, TX

Active since September 18, 2009PECOS EnrolledAccepts Medicare Assignment
2800 E BROAD ST STE 100, MANSFIELD, TX 76063(682) 518-1035(682) 518-1045 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kimberly A Misamore Md NPPES

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

KIMBERLY A MISAMORE MD (NPI 1306170642) is an individual obstetrics & gynecology provider in Mansfield, Texas, licensed in Texas (BP10034115) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Methodist Mansfield Medical Center, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2009).

NPPES Registry Identity

NPI1306170642
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKIMBERLY A MISAMORECredential: MD
Location Address2800 E BROAD ST STE 100Mansfield, TX 76063-6410
Mailing Address2800 E Broad St Ste 100Mansfield, TX 76063-6410 · (682) 518-1035 · Fax (682) 518-1045
Fax(682) 518-1045
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2009
Enumeration DateSeptember 18, 2009
Last NPPES UpdateFebruary 7, 2024
NPPES CertifiedFebruary 7, 2024
✔ NPI 1306170642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · BP10034115
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.
2800 E BROAD ST STE 100, Mansfield, TX 76063

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly A Misamore Md 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 ID8224457338
PECOS Enrollment IDI20200923000761
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kimberly Misamore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 127 clinicians in this Medicare group
7.1 mi
Urgent Care
4560 LAKE RIDGE PKWY STE 110
Grand Prairie, TX 75052
  • Reassigned Medicare billing, Texas enrollment
  • 562 clinicians in this Medicare group
Internal Medicine
4401 PARK SPRINGS BLVD STE 100
Arlington, TX 76017
  • Reassigned Medicare billing, Texas enrollment
  • 379 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Methodist Mansfield Medical Center

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670023
Location2700 E Broad StreetMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 7

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

Nurse Practitioner (Women's Health)
2800 E BROAD ST STE 100
MANSFIELD, TX 76063
Obstetrics & Gynecology
2800 E BROAD ST STE 100
MANSFIELD, TX 76063
Nurse Practitioner (Women's Health)
2800 E BROAD ST STE 100
MANSFIELD, TX 76063
Obstetrics & Gynecology
2800 E BROAD ST STE 100
MANSFIELD, TX 76063
Obstetrics & Gynecology
2800 E BROAD ST STE 100
MANSFIELD, TX 76063
Nurse Practitioner (Family)
2800 E BROAD ST STE 100
MANSFIELD, TX 76063
Obstetrics & Gynecology
2800 E BROAD ST STE 100
MANSFIELD, TX 76063

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 Misamore's NPI number?

The NPI number for Kimberly Misamore is 1306170642. It was assigned to this individual provider in the NPPES registry on September 18, 2009.

Where is Kimberly Misamore located?

Kimberly Misamore practices at 2800 E Broad St Ste 100, Mansfield, TX 76063. The listed phone number is (682) 518-1035.

What is Kimberly Misamore's specialty?

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

Is Kimberly Misamore enrolled in Medicare?

Yes. Kimberly Misamore 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.

Which organizations bill Medicare for Kimberly Misamore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Misamore reassigns Medicare benefits to 3 organizations: Arlington Physician Services PA (Mansfield, TX), Medhealth (Grand Prairie, TX) and Medical Clinic Of North Texas, PLLC (Arlington, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Misamore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Misamore accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Imperial Insurance Companies, Inc. and Molina Healthcare and 3 other insurers list Kimberly Misamore 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 Misamore affiliated with any hospitals?

According to CMS data, Kimberly Misamore is affiliated with Methodist Mansfield Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Misamore was last updated on February 7, 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.