DR. KIMBERLY T EDEN MD
NPI 1568411684
Family Medicine in Fort Worth, TX

NPI Status: Active since May 08, 2006

Contact Information

5701 BRYANT IRVIN RD
SUITE 301
FORT WORTH, TX
ZIP 76132
Phone: (817) 361-6200
Fax: (817) 361-6201

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  • Individual
  • Female
  • Years of Experience 25
  • Family Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About KIMBERLY EDEN

Kimberly Eden is a primary care provider established in Fort Worth, Texas and her medical specialization is Family Medicine with more than 25 years of experience. She graduated from University Of Texas Southwestern Medical School At Dallas in 1999. The healthcare provider is registered in the NPI registry with number 1568411684 assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X with license number K7726 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1568411684
Provider Name
DR. KIMBERLY T EDEN MD
Gender
Female
Entity Type
Individual
Location Address
5701 BRYANT IRVIN RD SUITE 301 FORT WORTH, TX 76132
Location Phone
(817) 361-6200
Location Fax
(817) 361-6201
Mailing Address
5701 BRYANT IRVIN RD SUITE 301 FORT WORTH, TX 76132
Mailing Phone
(817) 361-6200
Mailing Fax
(817) 361-6201
Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year
1999
Is Sole Proprietor?
No
Enumeration Date
05-08-2006
Last Update Date
05-10-2023
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A primary care provider (PCP) like Kimberly Eden sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Kimberly Eden is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.39 for a new patient copayment and $25.94 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
K7726
License State
TX
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Baylor Scott and White Health Plan

    • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
    • BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
    • BSW Elite Gold HMO 012 ($0 PCP unlimited visits) - HMO
    • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
    • BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
    • BSW Prime Silver HMO 005 - HMO
    • BSW Savers Bronze HMO H S A 006 - HMO
    • BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
    • BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
  • Blue Cross and Blue Shield of Texas

    • Blue Advantage Bronze HMO℠ 204 - HMO
    • Blue Advantage Bronze HMO℠ 301 - HMO
    • Blue Advantage Bronze HMO℠ 302 - HMO
    • Blue Advantage Bronze HMO℠ 707 - HMO
    • Blue Advantage Gold HMO℠ 206 - HMO
    • Blue Advantage Gold HMO℠ 603 - HMO
    • Blue Advantage Gold HMO℠ 706 - HMO
    • Blue Advantage Plus Bronze℠ 303 - POS
    • Blue Advantage Plus Bronze℠ 305 - POS
    • Blue Advantage Plus Bronze℠ 707 - POS
    • Blue Advantage Plus Gold℠ 203 - POS
    • Blue Advantage Plus Gold℠ 706 - POS
    • Blue Advantage Plus Gold℠ 803 - POS
    • Blue Advantage Plus Silver℠ 202 - POS
    • Blue Advantage Plus Silver℠ 605 - POS
  • Medicare

  • Medicaid

  • Blue Cross Blue Shield


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
143777402MEDICAID (05)TX 
8706B6OTHER (01)TXBCBS

PECOS Enrollment and Medicare Participation Status

Kimberly Eden is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5496882193

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20100429000448

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • Other DME (D1E)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    9 DME suppliers used 27 Medicare Claims 58 Services Paid

  • Other DME (D1E)

    Lancets, per box of 100 (HCPCS:A4259)

    8 DME suppliers used 17 Medicare Claims 21 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 76132 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $89.57
  • Minimum New Patient Price $58.28
  • Maximum New Patient Price $176.69
  • Average New Patient Copayment $22.39
  • Minimum New Patient Copayment $14.57
  • Maximum New Patient Copayment $44.17

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.77
  • Minimum Established Patient Price $18.31
  • Maximum Established Patient Price $144.78
  • Average Established Patient Copayment $25.94
  • Minimum Established Patient Copayment $4.57
  • Maximum Established Patient Copayment $36.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 225

    Insertion of needle into vein for collection of blood sample (HCPCS:36415)

  • 117

    Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

  • 60

    Administration of influenza virus vaccine (HCPCS:G0008)

  • 53

    Vaccine for influenza for injection into muscle (HCPCS:90662)

  • 38

    Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)

  • 29

    Administration of pneumococcal vaccine (HCPCS:G0009)

  • 24

    Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kimberly Eden is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH1301 PENNSYLVANIA AVENUE
FORT WORTH, TX 76104
(817) 250-2100Acute Care Hospitals
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER FORT WORTH1400 EIGHTH AVE
FORT WORTH, TX 76104
(817) 926-2544Acute Care Hospitals
MEDICAL CITY WEATHERFORD713 E ANDERSON ST
WEATHERFORD, TX 76086
(817) 599-1190Acute Care Hospitals
TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F6100 HARRIS PKWY
FORT WORTH, TX 76132
(817) 433-5000Acute Care Hospitals

Reviews for DR. KIMBERLY T EDEN MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568411684
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128812616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 8 + 1 + 2 + 6 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1568411684 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902806482DR. DONALD R PAEK SR. MD
Individual
Dermatology5701 BRYANT IRVIN RD SUITE 102
FORT WORTH, TX 76132
(817) 294-4184
1518916063DR. JOSEPH W. CAPPEL III MD
Individual
Family Medicine5701 BRYANT IRVIN RD SUITE 301
FORT WORTH, TX 76132
(817) 346-4242
1053353235MS. PATRICIA BAGWELL PHELPS MSN, FNP
Individual
Nurse Practitioner (Family)5701 BRYANT IRVIN RD SUITE 304
FORT WORTH, TX 76132
(817) 361-5037
1932126521 ROBERT W HUNNICUTT MD
Individual
Orthopaedic Surgery5701 BRYANT IRVIN RD SUITE 101
FORT WORTH, TX 76132
(817) 370-9010
1093885154CITYVIEW FAMILY PHYSICIANS
Organization
Family Medicine5701 BRYANT IRVIN RD SUITE 201
FORT WORTH, TX 76132
(817) 263-9412
1275605552MR. CARTER MOODY ROSS L.P.C.
Individual
Counselor (Professional)5701 BRYANT IRVIN RD SUITE 201
FORT WORTH, TX 76132
(817) 263-2500
1003018490PHYSICIANS FAMILY PRACTICE ASSOCIATES
Organization
Family Medicine5701 BRYANT IRVIN RD SUITE 203
FORT WORTH, TX 76132
(817) 346-4000
1356570865DR. CLARK AARON MEADOR D.O.
Individual
Family Medicine5701 BRYANT IRVIN RD SUITE 301
FORT WORTH, TX 76132
(817) 361-6200
1932107638 JAMES STEVEN COLE M.D.
Individual
Family Medicine5701 BRYANT IRVIN RD SUITE 201
FORT WORTH, TX 76132
(817) 263-2500
1003870981 PAUL J GARCIA DO
Individual
Internal Medicine5701 BRYANT IRVIN RD SUITE 302
FORT WORTH, TX 76132
(817) 294-9000
1922096858 JOANNE MARTIN C.R.N.P
Individual
Nurse Practitioner (Family)5701 BRYANT IRVIN RD
FORT WORTH, TX 76132
(817) 263-2500
1548267446 RICHARD ALAN STUNTZ M.D.
Individual
Family Medicine5701 BRYANT IRVIN RD SUITE 201
FORT WORTH, TX 76132
(817) 263-2500
1821086364 BRENDA HUITT ZIEGLER RN-FNP
Individual
Nurse Practitioner (Family)5701 BRYANT IRVIN RD SUITE 201
FORT WORTH, TX 76132
(817) 263-2500
1922058486 LYNN M SISK MSN, FNP
Individual
Nurse Practitioner (Family)5701 BRYANT IRVIN RD SUITE 301
FORT WORTH, TX 76132
(817) 361-6200
1093771842DR. CAROLINE ELIZABETH WOODLAND DO
Individual
Family Medicine5701 BRYANT IRVIN RD SUITE 304
FORT WORTH, TX 76132
(817) 361-5037
1063723260 LAPONNA RAE IRVINE-MOORE D.O.
Individual
Family Medicine5701 BRYANT IRVIN RD SUITE 304
FORT WORTH, TX 76132
(817) 361-5037
1720023963DR. ELLIS NICK ABDO III M.D.
Individual
Family Medicine5701 BRYANT IRVIN RD SUITE 302
FORT WORTH, TX 76132
(817) 346-4200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568411684, enumerated in the NPI registry as an "individual" on May 08, 2006

The provider is located at 5701 Bryant Irvin Rd Suite 301 Fort Worth, Tx 76132 and the phone number is (817) 361-6200

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider has more than 25 years of experience. She graduated from University Of Texas Southwestern Medical School At Dallas in 1999.

The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 21, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $89.57 with an average copayment of $22.39 for new patient appointments. Established patients should expect a typical charge of $103.77 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Administration of influenza virus vaccine, Vaccine for influenza for injection into muscle, Routine ekg using at least 12 leads including interpretation and report, Administration of pneumococcal vaccine and Cervical or vaginal cancer screening; pelvic and clinical breast examination.

The practitioner is affiliated to the following hospital(s): TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH, BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER FORT WORTH, MEDICAL CITY WEATHERFORD and TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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