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DR. CHAD BRIGHAM KIMBALL M.D.
NPI 1629247358
Internal Medicine - Addiction Medicine in Provo, UT

Active since February 27, 2008PECOS EnrolledAccepts Medicare Assignment
65.79/100
CMS Quality Rating
1145 QUAIL SUMMIT DR, PROVO, UT 84604(801) 556-2289(801) 691-0969 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Chad Brigham Kimball M.d. NPPES

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

DR. CHAD BRIGHAM KIMBALL M.D. (NPI 1629247358) is an individual addiction medicine provider in Provo, Utah, licensed in Utah (68514421205) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Provo, and is a graduate of Drexel University College Of Medicine (2006).

NPPES Registry Identity

NPI1629247358
Entity TypeIndividualMale
Primary Taxonomy207RA0401X
Provider Legal NameDR. CHAD BRIGHAM KIMBALLCredential: M.D.
Location Address1145 QUAIL SUMMIT DRProvo, UT 84604
Mailing Address1145 Quail Summit DrProvo, UT 84604-5277 · (801) 556-2289 · Fax (801) 691-0969
Phone(801) 556-2289
Fax(801) 691-0969
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2006
Enumeration DateFebruary 27, 2008
Last NPPES UpdateJune 25, 2019
✔ NPI 1629247358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in UT · 68514421205
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 68514421205 (UT)
1145 QUAIL SUMMIT DR, Provo, UT 84604
Open in Google Maps ↗

Secondary Practice Location 1

Location 11055 N 500 W, Suite 212Provo, UT 84604-3305 · Phone (801) 374-2362 · Fax (801) 429-8050

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

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. Chad Brigham Kimball 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 ID3274719448
PECOS Enrollment IDI20110524000421
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 84604 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

65.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55
Improvement Activities40
Cost12.64

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 Chad Kimball's NPI number?

The NPI number for Chad Kimball is 1629247358. It was assigned to this individual provider in the NPPES registry on February 27, 2008.

Where is Chad Kimball located?

Chad Kimball practices at 1145 Quail Summit Dr, Provo, UT 84604. The listed phone number is (801) 556-2289.

What is Chad Kimball's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Chad Kimball enrolled in Medicare?

Yes. Chad Kimball 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.

What insurance does Chad Kimball accept?

Health plans from University of Utah Health Plans list Chad Kimball 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 Chad Kimball was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.