DR. KIMERLI PLUMB-MOORE M.D.
NPI 1477540086
Pediatrics in Jackson, KY

Active since September 29, 2005PECOS Enrolled
1484 LAKESIDE DRIVE, JACKSON, KY 41339(606) 666-9950(606) 666-9136 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, Mar 13, 2020 (2 updates tracked since 2020).

About Dr. Kimerli Plumb-moore M.d. NPPES

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

DR. KIMERLI PLUMB-MOORE M.D. (NPI 1477540086) is an individual pediatrics provider in Jackson, Kentucky, licensed in Kentucky (26703) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477540086
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KIMERLI PLUMB-MOORECredential: M.D.
Location Address1484 LAKESIDE DRIVEJackson, KY 41339-6555
Mailing AddressPo Box 690Beattyville, KY 41311-0690 · (606) 464-0151 · Fax (606) 464-0152
Fax(606) 666-9136
Sole ProprietorNo
Enumeration DateSeptember 29, 2005
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
NPI 1477540086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in KY · 26703
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1484 LAKESIDE DRIVE, Jackson, KY 41339

Other Names 1

Former Name (1)Dr. Kimerli Moore M.d.

Other Identifiers 1

Medicaid64267032KY

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 (PECOS)

Dr. Kimerli Plumb-moore M.d. 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 41339 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 9

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

Nurse Practitioner (Family)
1484 LAKESIDE DRIVE
JACKSON, KY 41339
Social Worker (Clinical)
1484 LAKESIDE DRIVE
JACKSON, KY 41339
Internal Medicine
1484 LAKESIDE DRIVE
JACKSON, KY 41339
Social Worker (Clinical)
1484 LAKESIDE DRIVE
JACKSON, KY 41339
Dentist (General Practice)
1484 LAKESIDE DRIVE, DENTAL SUITE
JACKSON, KY 41339
Clinic/Center (Federally Qualified Health Center (FQHC))
1484 LAKESIDE DRIVE
JACKSON, KY 41339
Nurse Practitioner (Family)
1484 LAKESIDE DRIVE
JACKSON, KY 41339
Internal Medicine
1484 LAKESIDE DRIVE
JACKSON, KY 41339

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 Kimerli Plumb-moore's NPI number?

The NPI number for Kimerli Plumb-moore is 1477540086. It was assigned to this individual provider in the NPPES registry on September 29, 2005. The provider is also known as Dr. Kimerli Moore M.D..

Where is Kimerli Plumb-moore located?

Kimerli Plumb-moore practices at 1484 Lakeside Drive, Jackson, KY 41339. The listed phone number is (606) 666-9950.

What is Kimerli Plumb-moore's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kimerli Plumb-moore enrolled in Medicare?

Yes. Kimerli Plumb-moore is registered in the Medicare PECOS enrollment system.

What insurance does Kimerli Plumb-moore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Kimerli Plumb-moore 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.

When was this NPI record last updated?

The NPPES record for Kimerli Plumb-moore was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.