DR. KIMBERLY MARIE PRUETT MD
NPI 1518120286
Obstetrics & Gynecology in Santa Clara, CA

Active since July 03, 2008PECOS EnrolledAccepts Medicare Assignment
710 LAWRENCE EXPY, DEPT 384, SANTA CLARA, CA 95051(408) 715-7137 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. Kimberly Marie Pruett Md NPPES

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

DR. KIMBERLY MARIE PRUETT MD (NPI 1518120286) is an individual obstetrics & gynecology provider in Santa Clara, California, licensed in California (A104220) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2006).

NPPES Registry Identity

NPI1518120286
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KIMBERLY MARIE PRUETTCredential: MD
Location Address710 LAWRENCE EXPY, DEPT 384Santa Clara, CA 95051-5173
Mailing Address710 Lawrence Expy, Dept 384Santa Clara, CA 95051-5173 · (408) 715-7137
Sole ProprietorYes
Medical School CMSBoston University School Of MedicineGraduated 2006
Enumeration DateJuly 3, 2008
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1518120286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A104220
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
710 LAWRENCE EXPY, Santa Clara, CA 95051

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. Kimberly Marie Pruett 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 ID7012032634
PECOS Enrollment IDI20100920000102
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 95051 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

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.

Nurse Practitioner (Family)
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Student in an Organized Health Care Education/Training Program
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Dietitian, Registered
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Physical Therapist
710 LAWRENCE EXPY, DEPT. #174
SANTA CLARA, CA 95051
Podiatrist
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Internal Medicine (Gastroenterology)
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Physical Therapist
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Obstetrics & Gynecology
710 LAWRENCE EXPY
SANTA CLARA, CA 95051

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 Kimberly Pruett's NPI number?

The NPI number for Kimberly Pruett is 1518120286. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Where is Kimberly Pruett located?

Kimberly Pruett practices at 710 Lawrence Expy Dept 384, Santa Clara, CA 95051. The listed phone number is (408) 715-7137.

What is Kimberly Pruett's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kimberly Pruett enrolled in Medicare?

Yes. Kimberly Pruett 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.

When was this NPI record last updated?

The NPPES record for Kimberly Pruett was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.