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DR. MICHAEL D KIMZEY D.O.
NPI 1457310351
Internal Medicine - Infectious Disease in Doylestown, PA

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
599 W STATE ST STE 205, DOYLESTOWN, PA 18901(267) 880-6975(267) 880-6981 Get Directions Write a Review

NPPES record last updated: June 14, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 14, 2019, Apr 15, 2019, Jul 9, 2018 (3 updates tracked since 2018).

About Dr. Michael D Kimzey D.o. NPPES

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

DR. MICHAEL D KIMZEY D.O. (NPI 1457310351) is an individual infectious disease provider in Doylestown, Pennsylvania, licensed in Pennsylvania (OS010118L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains a secondary practice location in Doylestown.

NPPES Registry Identity

NPI1457310351
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. MICHAEL D KIMZEYCredential: D.O.
Location Address599 W STATE ST STE 205Doylestown, PA 18901-2567
Mailing AddressPo Box 829641Philadelphia, PA 19182-0001 · (267) 370-5296 · Fax (215) 230-3725
Phone(267) 880-6975
Fax(267) 880-6981
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 20, 2006
Last NPPES UpdateJune 14, 20193 updates tracked since enumeration
✔ NPI 1457310351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in PA · OS010118L
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS010118L (PA)
599 W STATE ST STE 205, Doylestown, PA 18901
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Secondary Practice Location 1

Location 1777 Ferry RdDoylestown, PA 18901-2102 · Phone (267) 880-6975 · Fax (267) 880-6981

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Michael D Kimzey D.o. 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 ID9133223605
PECOS Enrollment IDI20070323000091
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 Michael Kimzey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Via Affiliates
0.1 mi
Anatomic Pathology & Clinical Pathology
595 W STATE ST
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 268 clinicians in this Medicare group
NPI 1194557637 (215) 345-2625
Clinical Specialty Associates
0.2 mi
Obstetrics & Gynecology
102 PROGRESS DR STE 202
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 192 clinicians in this Medicare group
NPI 1306734934 (215) 230-5296
Prospect Health Access Network, Inc.
25 mi
Obstetrics & Gynecology
2100 KEYSTONE AVE, SUITE 707
Drexel Hill, PA 19026
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 clinicians in this Medicare group
NPI 1255786729 (610) 626-7070

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

Areas of Expertise CMS Part B claims 7

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
995 services329 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
261 services254 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
133 services92 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.
85 services53 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
67 services36 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18901 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 3

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

ALYSSA ANDERSON WANKEWICZ M.D.
Internal Medicine (Infectious Disease)
599 W STATE ST STE 205
DOYLESTOWN, PA 18901
Bucks County (267) 880-6975
DR. EMILY L WONG M.D.
Internal Medicine (Infectious Disease)
599 W STATE ST STE 205
DOYLESTOWN, PA 18901
Bucks County (267) 880-6975
DR. ALAN L SILVERBERG M.D.
Internal Medicine (Infectious Disease)
599 W STATE ST STE 205
DOYLESTOWN, PA 18901
Bucks County (267) 880-6975

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 Michael Kimzey's NPI number?

The NPI number for Michael Kimzey is 1457310351. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Michael Kimzey located?

Michael Kimzey practices at 599 W State St Ste 205, Doylestown, PA 18901. The listed phone number is (267) 880-6975.

What is Michael Kimzey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Michael Kimzey enrolled in Medicare?

Yes. Michael Kimzey 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 Michael Kimzey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Kimzey reassigns Medicare benefits to 3 organizations: Via Affiliates (Doylestown, PA), Clinical Specialty Associates (Doylestown, PA) and Prospect Health Access Network, Inc. (Drexel Hill, PA). 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 Michael Kimzey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Kimzey accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Kimzey 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 Michael Kimzey affiliated with any hospitals?

According to CMS data, Michael Kimzey is affiliated with Hospital Of Univ Of Pennsylvania and Doylestown Hospital.

When was this NPI record last updated?

The NPPES record for Michael Kimzey was last updated on June 14, 2019. 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.