KARA E. KIMBERLY MD
NPI 1477530756
Otolaryngology in Altoona, PA
About Kara E. Kimberly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARA E. KIMBERLY MD (NPI 1477530756) is an individual otolaryngology provider in Altoona, Pennsylvania, licensed in Pennsylvania (MD455721) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Huntingdon, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2010).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Accepted 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
Kara E. Kimberly Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kara Kimberly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Altoona, PA 16601
- Reassigned Medicare billing, Pennsylvania enrollment
- 45 clinicians in this Medicare group
Altoona, PA 16601
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Tyrone Hospital
- Also billed through NPI 1659472447 (Pennsylvania)
- 129 clinicians in this Medicare group
Du Bois, PA 15801
- Reassigned Medicare billing, Pennsylvania enrollment
- 28 clinicians in this Medicare group
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 8
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Penn Highlands Huntingdon
Acute Care Hospitals · Huntingdon, PAPenn Highlands Dubois
Acute Care Hospitals · Dubois, PAPenn Highlands Mon Valley
Acute Care Hospitals · Monongahela, PAPenn Highlands Tyrone
Critical Access Hospitals · Tyrone, PAPenn Highlands Elk
Critical Access Hospitals · Saint Marys, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Kara Kimberly's NPI number?
The NPI number for Kara Kimberly is 1477530756. It was assigned to this individual provider in the NPPES registry on December 28, 2005.
Where is Kara Kimberly located?
Kara Kimberly practices at 3341 Beale Ave, Altoona, PA 16601. The listed phone number is (814) 944-5357.
What is Kara Kimberly's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Kara Kimberly enrolled in Medicare?
Yes. Kara Kimberly 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 Kara Kimberly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kara Kimberly reassigns Medicare benefits to 3 organizations: J C Blair Memorial Hospital (Altoona, PA), Pinecroft Medical Center (Altoona, PA) and Dubois Regional Medical Group, PC (Du Bois, 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 Kara Kimberly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kara Kimberly accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Providence Health Plan list Kara Kimberly 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 Kara Kimberly affiliated with any hospitals?
According to CMS data, Kara Kimberly is affiliated with Penn Highlands Huntingdon, Penn Highlands Dubois, Penn Highlands Mon Valley, Penn Highlands Tyrone and Penn Highlands Elk.
When was this NPI record last updated?
The NPPES record for Kara Kimberly was last updated on January 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kara E. Kimberly, MD · NPI 1477530756
Otolaryngology physician in Altoona, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 28, 2005.
## Identity
- **NPI:** 1477530756 (Entity type: Individual)
- **Enumerated:** December 28, 2005
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** MD455721 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3341 BEALE AVE, Altoona, PA 16601-1549
- **Phone:** (814) 944-5357
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): J C Blair Memorial Hospital (NPI 1669217808, Altoona, PA); Pinecroft Medical Center (NPI 1780622621, Altoona, PA); Dubois Regional Medical Group, PC (NPI 1285728915, Du Bois, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Jc Edwards School Of Medicine, Marshall University, class of 2010
## Record status
- **NPPES last updated:** January 26, 2017
- **Other identifiers:** Medicaid 1030722110001 (PA); Medicare PIN PA35181 (WV); Medicare UPIN S65800 (MD); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1477530756) · Data from the CMS NPPES public registry.