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DR. KIMBERLEY E FILLMORE MD
NPI 1588736508
Obstetrics & Gynecology in Lodi, CA

Active since November 14, 2006PECOS Enrolled
999 S FAIRMONT AVE, STE. 230, LODI, CA 95240(209) 334-4924(209) 334-0127 Get Directions Write a Review

NPPES record last updated: May 6, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kimberley E Fillmore Md NPPES

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

DR. KIMBERLEY E FILLMORE MD (NPI 1588736508) is an individual obstetrics & gynecology provider in Lodi, California, licensed in California (G74184) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588736508
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KIMBERLEY E FILLMORECredential: MD
Location Address999 S FAIRMONT AVE, STE. 230Lodi, CA 95240-5100
Mailing Address4143 Canopy CourtMerced, CA 95340 · (925) 676-3450 · Fax (925) 676-0615
Phone(209) 334-4924
Fax(209) 334-0127
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateMay 6, 2016
✔ NPI 1588736508 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 · G74184
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.
999 S FAIRMONT AVE, Lodi, CA 95240
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINF41703
Medicare ID-Type Unspecified222146542

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberley E Fillmore Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberley Fillmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health And Life Organization, Inc
27 mi
Federally Qualified Health Center (FQHC)
7275 E SOUTHGATE DR, SUITE 204
Sacramento, CA 95823
  • Reassigned Medicare billing, California enrollment
  • 14 clinicians in this Medicare group
NPI 1740336734 (916) 428-3788

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95240 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

DR. DENNY SCHOCH M.D.
Surgery
999 S FAIRMONT AVE, SUITE 100
LODI, CA 95240
San Joaquin County (209) 334-2010
JAMES S. HOFF, M.D., A MEDICAL CORPORATION
Internal Medicine
999 S FAIRMONT AVE, SUITE 135
LODI, CA 95240
San Joaquin County (209) 224-5719
SUTTER GOULD MEDICAL FOUNDATION
Internal Medicine
999 S FAIRMONT AVE, #130/135
LODI, CA 95240
San Joaquin County (209) 366-2001
P. GILL OBSTETERICS & GYNECOLOGY MEDICAL GROUP, INC
Registered Nurse
999 S FAIRMONT AVE, STE. 230
LODI, CA 95240
San Joaquin County (209) 334-4924
DIANNA AKESH
Registered Nurse
999 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-0799
WALEED IBRAHIM M.D., INC.
Internal Medicine (Gastroenterology)
999 S FAIRMONT AVE, STE. 115
LODI, CA 95240
San Joaquin County (209) 334-7559
P. GILL OBSTETRICS & GYNECOLOGY MEDICAL GROUP, INC.
Obstetrics & Gynecology
999 S FAIRMONT AVE, STE 230
LODI, CA 95240
San Joaquin County (209) 465-5550
JOSEPH D GAYAGOY M.D.
Internal Medicine
999 S FAIRMONT AVE, SUITE 135
LODI, CA 95240
San Joaquin County (209) 366-2060

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 Kimberley Fillmore's NPI number?

The NPI number for Kimberley Fillmore is 1588736508. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Kimberley Fillmore located?

Kimberley Fillmore practices at 999 S Fairmont Ave Ste. 230, Lodi, CA 95240. The listed phone number is (209) 334-4924.

What is Kimberley Fillmore's specialty?

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

Is Kimberley Fillmore enrolled in Medicare?

Yes. Kimberley Fillmore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberley Fillmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberley Fillmore reassigns Medicare benefits to Health And Life Organization, Inc (Sacramento, CA). The 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 Kimberley Fillmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberley Fillmore was last updated on May 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.