KIMBERLY JO FORDHAM MD
NPI 1376568808
Family Medicine in Middletown, CA

Active since July 13, 2006PECOS Enrolled
78.28/100
CMS Quality Rating
21337 BUSH STREET, MIDDLETOWN, CA 95461(707) 987-3311(707) 987-2455 Get Directions Write a Review

NPPES record last updated: January 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Jo Fordham Md NPPES

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

KIMBERLY JO FORDHAM MD (NPI 1376568808) is an individual family medicine provider in Middletown, California, licensed in California (A78858) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376568808
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIMBERLY JO FORDHAMCredential: MD
Location Address21337 BUSH STREETMiddletown, CA 95461-1519
Mailing AddressPo Box 1519, 21337 Bush StreetMiddletown, CA 95461-1519 · (707) 987-3311 · Fax (707) 987-2455
Fax(707) 987-2455
Sole ProprietorYes
Enumeration DateJuly 13, 2006
Last NPPES UpdateJanuary 6, 2010
NPI 1376568808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A78858
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.
21337 BUSH STREET, Middletown, CA 95461

Other Names 1

Former Name (1)Kimberly Jo Melde

Other Identifiers 1

Medicare UPINH78070CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kimberly Jo Fordham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95461 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

78.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.31
Promoting Interoperability93
Improvement Activities40
Cost45.47

Referred Medical Equipment & Supplies CMS DME claims 19

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
4 suppliers37 claims85 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers22 claims37 services$1.11 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers18 claims18 services$39.54 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers16 claims72 services$23.00 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers22 claims22 services$72.73 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers21 claims21 services$23.13 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

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

Registered Nurse
21337 BUSH STREET
MIDDLETOWN, CA 95461

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 Fordham's NPI number?

The NPI number for Kimberly Fordham is 1376568808. It was assigned to this individual provider in the NPPES registry on July 13, 2006. The provider is also known as Kimberly Jo Melde.

Where is Kimberly Fordham located?

Kimberly Fordham practices at 21337 Bush Street, Middletown, CA 95461. The listed phone number is (707) 987-3311.

What is Kimberly Fordham's specialty?

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

Is Kimberly Fordham enrolled in Medicare?

Yes. Kimberly Fordham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Fordham was last updated on January 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.