LAWRENCE DUSTIN KIMBALL III DO
NPI 1346248937
Family Medicine in Hillsdale, MI

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
90.23/100
CMS Quality Rating
451 HIDDEN MEADOWS DR, SUITE 120, HILLSDALE, MI 49242(517) 437-0010(517) 437-0319 Get Directions Write a Review

NPPES record last updated: April 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lawrence Dustin Kimball Iii Do NPPES

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

LAWRENCE DUSTIN KIMBALL III DO (NPI 1346248937) is an individual family medicine provider in Hillsdale, Michigan, licensed in Michigan (5101010860) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Hillsdale Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1988).

NPPES Registry Identity

NPI1346248937
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLAWRENCE DUSTIN KIMBALL IIICredential: DO
Location Address451 HIDDEN MEADOWS DR, SUITE 120Hillsdale, MI 49242-9812
Mailing Address451 Hidden Meadows Dr, Suite 120Hillsdale, MI 49242-9812 · (517) 437-0010 · Fax (517) 437-0319
Fax(517) 437-0319
Sole ProprietorYes
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1988
Enumeration DateJuly 8, 2005
Last NPPES UpdateApril 14, 2014
NPI 1346248937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101010860
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

451 HIDDEN MEADOWS DR, Hillsdale, MI 49242

Other Identifiers 8

Other0120040MI · Php
Other0153000035MI · Bcbs
Medicaid2935031MI
Other080071137MI · Medicare-railroad
Other102060MI · Glhp
Medicare UPINF00561MI
OtherP89542MI · Bcn
Medicare PIN5300003MI

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

Lawrence Dustin Kimball Iii Do 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 ID840320024
PECOS Enrollment IDI20100615000216
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 13

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 nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
669 services98 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.
197 services111 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
177 services79 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
125 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
102 services102 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
88 services88 patients

Hospital Affiliations CMS Care Compare

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

Hillsdale Hospital

Acute Care Hospitals · Hillsdale, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230037
Location168 S Howell StreetHillsdale, MI 49242 · Hillsdale County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49242 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

90.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality98.49
Promoting Interoperability92
Improvement Activities40
Cost53.99

Reported Quality Measures

Advance Care Plan
7%670 patients1/55-star benchmark: 100%
Breast Cancer Screening
46%167 patients2/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
41%334 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
65%624 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
91%447 patients5/55-star benchmark: 91%
Diabetes: Eye Exam
37%178 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
26%178 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
58%3,991 patients2/55-star benchmark: 100%
e-Prescribing
99%2,642 patients4/55-star benchmark: 100%
HIV Screening
3%540 patients1/55-star benchmark: 60%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
12%2,357 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 67% · 868 patients
Patients screened: 68% · 868 patients
96%100 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
50%827 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 670 patients
Patients totalRate: 13% · 689 patients
13%689 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers35 claims92 services$5.70 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers17 claims24 services$1.09 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier27 claims27 services$24.39 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier31 claims35 services$9.36 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims132 services$9.39 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers18 claims18 services$114.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Family Medicine
451 HIDDEN MEADOWS DR, SUITE 120
HILLSDALE, MI 49242
Surgery
451 HIDDEN MEADOWS DR, STE 260
HILLSDALE, MI 49242
Surgery
451 HIDDEN MEADOWS DR, STE 260
HILLSDALE, MI 49242
Surgery
451 HIDDEN MEADOWS DR, SUITE 260
HILLSDALE, MI 49242
Audiologist
451 HIDDEN MEADOWS DR, SUITE 240
HILLSDALE, MI 49242
Hearing Aid Equipment
451 HIDDEN MEADOWS DR, SUITE 240
HILLSDALE, MI 49242
Pediatrics (Adolescent Medicine)
451 HIDDEN MEADOWS DR, SUITE 200
HILLSDALE, MI 49242
Family Medicine
451 HIDDEN MEADOWS DR, SUITE
HILLSDALE, MI 49242

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 Lawrence Kimball's NPI number?

The NPI number for Lawrence Kimball is 1346248937. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Lawrence Kimball located?

Lawrence Kimball practices at 451 Hidden Meadows Dr Suite 120, Hillsdale, MI 49242. The listed phone number is (517) 437-0010.

What is Lawrence Kimball's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lawrence Kimball enrolled in Medicare?

Yes. Lawrence Kimball 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 Lawrence Kimball accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Lawrence Kimball 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 Lawrence Kimball affiliated with any hospitals?

According to CMS data, Lawrence Kimball is affiliated with Hillsdale Hospital.

When was this NPI record last updated?

The NPPES record for Lawrence Kimball was last updated on April 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.