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KIMBERLY MIDDLETON M.D.
NPI 1619944857
Family Medicine in Garland, TX

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment
4170 LAVON DR STE 146, GARLAND, TX 75040(972) 495-7224(708) 756-4026 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2021, Apr 27, 2021, Feb 11, 2020 (3 updates tracked since 2020).

About Kimberly Middleton M.d. NPPES

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

KIMBERLY MIDDLETON M.D. (NPI 1619944857) is an individual family medicine provider in Garland, Texas, licensed in Texas (S4192) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1619944857
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIMBERLY MIDDLETONCredential: M.D.
Location Address4170 LAVON DR STE 146Garland, TX 75040-2975
Mailing Address4170 Lavon Dr Ste 146Garland, TX 75040-2975 · (972) 495-7224 · Fax (972) 495-2224
Phone(972) 495-7224
Fax(708) 756-4026
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 7, 2006
Last NPPES UpdateJuly 15, 20213 updates tracked since enumeration
NPPES CertifiedJuly 15, 2021
✔ NPI 1619944857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · S4192
Definition
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.
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 036103921 (IL)
4170 LAVON DR STE 146, Garland, TX 75040
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Other Identifiers 4

Medicaid484049210MI
OtherKM086980Commercial-commercial Number
OtherKM086980Champus-champus
Other080H262390Blue Cross-blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Middleton M.d. 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 ID648176495
PECOS Enrollment IDI20200226001507
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 Kimberly Middleton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Group PLLC
12 mi
Surgery
1105 CENTRAL EXPY N STE 2240
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 16 clinicians in this Medicare group
NPI 1720477706 (866) 607-2308

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

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
280 services80 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
121 services97 patients
Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465
This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.
100 services52 patients
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475
This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.
99 services48 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
89 services52 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.
78 services78 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75040 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Middleton's NPI number?

The NPI number for Kimberly Middleton is 1619944857. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Kimberly Middleton located?

Kimberly Middleton practices at 4170 Lavon Dr Ste 146, Garland, TX 75040. The listed phone number is (972) 495-7224.

What is Kimberly Middleton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kimberly Middleton enrolled in Medicare?

Yes. Kimberly Middleton 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.

Which organization bills Medicare for Kimberly Middleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Middleton reassigns Medicare benefits to Texas Group PLLC (Allen, TX). 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 Kimberly Middleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Middleton accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Kimberly Middleton 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.

When was this NPI record last updated?

The NPPES record for Kimberly Middleton was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.