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

Q: 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.

Q: What is Kimberley Fillmore's specialty?

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

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: July 26, 2026.

On this page

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, and ordering and referring status from the CMS PECOS system.

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.

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.