DR. MARC DANIEL KIMBALL M.D.
NPI 1467815274
Family Medicine in Westbrook, ME

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment
1 HARNOIS AVE, WESTBROOK, ME 04092(207) 661-3400 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2021, Mar 30, 2016 (2 updates tracked since 2016).

About Dr. Marc Daniel Kimball M.d. NPPES

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

DR. MARC DANIEL KIMBALL M.D. (NPI 1467815274) is an individual family medicine provider in Westbrook, Maine, licensed in Maine (MD23253) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1467815274
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARC DANIEL KIMBALLCredential: M.D.
Location Address1 HARNOIS AVEWestbrook, ME 04092-4392
Mailing Address1 Harnois AveWestbrook, ME 04092-4392 · (207) 661-3400
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2016
Enumeration DateMarch 30, 2016
Last NPPES UpdateJune 16, 20212 updates tracked since enumeration
NPPES CertifiedJune 16, 2021
NPI 1467815274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ME · MD23253
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.
1 HARNOIS AVE, Westbrook, ME 04092

Secondary Practice Location 1

Location 1272 Congress StPortland, ME 04101-3637 · Phone (207) 874-2466

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. Marc Daniel Kimball 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 ID6608162953
PECOS Enrollment IDI20191108001186
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 4

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.

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.
130 services87 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.
58 services58 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services18 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04092 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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 20

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

Internal Medicine
1 HARNOIS AVE
WESTBROOK, ME 04092
Internal Medicine
1 HARNOIS AVE
WESTBROOK, ME 04092
Nurse Practitioner (Family)
1 HARNOIS AVE, 2ND FLOOR
WESTBROOK, ME 04092
Pediatrics
1 HARNOIS AVE
WESTBROOK, ME 04092
Social Worker (Clinical)
1 HARNOIS AVE
WESTBROOK, ME 04092
Internal Medicine
1 HARNOIS AVE
WESTBROOK, ME 04092
Nurse Practitioner (Family)
1 HARNOIS AVE
WESTBROOK, ME 04092
Family Medicine
1 HARNOIS AVE, SUITE 2A
WESTBROOK, ME 04092

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 Marc Kimball's NPI number?

The NPI number for Marc Kimball is 1467815274. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Marc Kimball located?

Marc Kimball practices at 1 Harnois Ave, Westbrook, ME 04092. The listed phone number is (207) 661-3400.

What is Marc Kimball's specialty?

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

Is Marc Kimball enrolled in Medicare?

Yes. Marc 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 Marc Kimball accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Marc 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 Marc Kimball affiliated with any hospitals?

According to CMS data, Marc Kimball is affiliated with Northern Light Health and Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Kimball was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.