DR. KIMBERLY JANNE WONDERLICH M.D.
NPI 1346211505
Dermatology in Fairbanks, AK

Active since January 27, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 02D2097548 · Microscopy
90.12/100
CMS Quality Rating
2775 COLLEGE ROAD, FAIRBANKS, AK 99709(907) 456-1979(907) 456-1903 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2018, Jun 16, 2016 (2 updates tracked since 2016).

About Dr. Kimberly Janne Wonderlich M.d. NPPES

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

DR. KIMBERLY JANNE WONDERLICH M.D. (NPI 1346211505) is an individual dermatology provider in Fairbanks, Alaska, licensed in Alaska (8102) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through June 17, 2027, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1346211505
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. KIMBERLY JANNE WONDERLICHCredential: M.D.
Location Address2775 COLLEGE ROADFairbanks, AK 99709
Mailing Address2775 College RoadFairbanks, AK 99709 · (907) 456-1979
Fax(907) 456-1903
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 27, 2006
Last NPPES UpdateSeptember 14, 20182 updates tracked since enumeration
NPI 1346211505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in AK · 8102 Licensed in NE · 23558
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2775 COLLEGE ROAD, Fairbanks, AK 99709

Accepted 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

Dr. Kimberly Janne Wonderlich 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 ID9830406289
PECOS Enrollment IDI20150916003260
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 02D2097548

Kimberly J Wonderlich Dermatology, LLC · Fairbanks, AK
Active · expires Jun 17, 2027
CLIA Number02D2097548
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2025
Certificate Expiration DateJune 17, 2027
Laboratory DirectorDr. Kimberly J. Wonderlich
Laboratory Phone(907) 456-1979
Laboratory LocationKimberly J Wonderlich Dermatology, LLC2775 College Rd, Fairbanks, AK 99709
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 12

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
787 services148 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.
747 services609 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
354 services279 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
304 services230 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.
195 services176 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
136 services101 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99709 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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.

90.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality80.24
Improvement Activities40

Reported Quality Measures

Melanoma: Continuity of Care - Recall System
100%215 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 1,004 patients
Patients screened: 96% · 1,004 patients
63%43 patients3/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
95%249 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Dermatology
2775 COLLEGE ROAD
FAIRBANKS, AK 99709

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 Wonderlich's NPI number?

The NPI number for Kimberly Wonderlich is 1346211505. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Kimberly Wonderlich located?

Kimberly Wonderlich practices at 2775 College Road, Fairbanks, AK 99709. The listed phone number is (907) 456-1979.

What is Kimberly Wonderlich's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kimberly Wonderlich enrolled in Medicare?

Yes. Kimberly Wonderlich 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.

Does Kimberly Wonderlich hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 02D2097548) is associated with this NPI, valid through June 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kimberly Wonderlich accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kimberly Wonderlich 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.

When was this NPI record last updated?

The NPPES record for Kimberly Wonderlich was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.