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DR. KIM E PERSHALL MD
NPI 1497751663
Otolaryngology in Lubbock, TX

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
3811 24TH STREET, LUBBOCK, TX 79410(806) 796-0202(806) 796-0496 Get Directions Write a Review

NPPES record last updated: January 31, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kim E Pershall Md NPPES

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

DR. KIM E PERSHALL MD (NPI 1497751663) is an individual otolaryngology provider in Lubbock, Texas, licensed in Texas (J3574) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of University Of New Mexico School Of Medicine (1981).

NPPES Registry Identity

NPI1497751663
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. KIM E PERSHALLCredential: MD
Location Address3811 24TH STREETLubbock, TX 79410-1813
Mailing Address3811 24th StreetLubbock, TX 79410-1813 · (806) 796-0202 · Fax (806) 796-0496
Phone(806) 796-0202
Fax(806) 796-0496
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1981
Enumeration DateJune 22, 2005
Last NPPES UpdateJanuary 31, 2011
✔ NPI 1497751663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in TX · J3574
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedSpecialistTaxonomy 174400000X · License J3574 (TX), 86103 (NM)
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License J3574 (TX)
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License J3574 (TX)
3811 24TH STREET, Lubbock, TX 79410
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Other Identifiers 8

Other8F21125TX · Medicare Ptan
Other148127701TX · Medicaid Group
Medicaid034333701TX
Medicaid37234NM
Other8P8420TX · Bcbs Tx
Other040007969TX · Railroad Medicare
Other121351100TX · Firstcare
Medicare UPINC98030TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.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. Kim E Pershall 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.

PECOS PAC ID8123184280
PECOS Enrollment IDI20090414000246
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 10

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
915 services21 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
337 services12 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.
255 services151 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
104 services104 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
101 services79 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
85 services85 patients

Hospital Affiliations CMS Care Compare 2

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

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450040
Location3615 19th StreetLubbock, TX 79410 · Lubbock County
Emergency services

Grace Surgical Hospital

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450162
Location2412 50th StLubbock, TX 79412 · Lubbock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79410 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES

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

KIM E PERSHALL MD PA
Otolaryngology
3811 24TH STREET
LUBBOCK, TX 79410
Lubbock County (806) 796-0202

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 Kim Pershall's NPI number?

The NPI number for Kim Pershall is 1497751663. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Kim Pershall located?

Kim Pershall practices at 3811 24th Street, Lubbock, TX 79410. The listed phone number is (806) 796-0202.

What is Kim Pershall's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kim Pershall enrolled in Medicare?

Yes. Kim Pershall 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 Kim Pershall accept?

Health plans from Baylor Scott and White Health Plan list Kim Pershall 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 Kim Pershall affiliated with any hospitals?

According to CMS data, Kim Pershall is affiliated with Covenant Medical Center and Grace Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Kim Pershall was last updated on January 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.