MRS. KIMBERLY ANN DYMOND PAC
NPI 1649263419
Physician Assistant in Oak Ridge, TN

Q: What is Kimberly Dymond's NPI number?

The NPI number for Kimberly Dymond is 1649263419. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Q: What is Kimberly Dymond's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Dymond was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment

988 OAK RIDGE TPKE STE 200, OAK RIDGE, TN 37830(865) 483-4366(615) 867-8073 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2024, Jun 12, 2023, May 22, 2023 and 1 more (4 updates tracked since 2018).

On this page

About Mrs. Kimberly Ann Dymond Pac NPPES

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

MRS. KIMBERLY ANN DYMOND PAC (NPI 1649263419) is an individual physician assistant in Oak Ridge, Tennessee, licensed in Tennessee (1248) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1649263419

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. KIMBERLY ANN DYMONDCredential: PAC

Location Address988 OAK RIDGE TPKE STE 200Oak Ridge, TN 37830-6919

Mailing Address988 Oak Ridge Tpke Ste 200Oak Ridge, TN 37830-6919 · (865) 483-4366 · Fax (615) 867-8073

Phone(865) 483-4366

Fax(615) 867-8073

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateAugust 26, 2005

Last NPPES UpdateAugust 20, 20244 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1649263419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TN · 1248

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

988 OAK RIDGE TPKE STE 200, Oak Ridge, TN 37830

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Other Identifiers 3

Medicaid36634311TN

Medicaid1522133TN

Medicaid3730229TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Mrs. Kimberly Ann Dymond Pac 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 ID1759322084

PECOS Enrollment IDI20241120003942

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.

Areas of Expertise CMS Part B claims

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37830 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JESSICA CLAIRE SHAMBLIN N.P.

Nurse Practitioner