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PETER KIMBALL PA-C
NPI 1689009201
Physician Assistant in Jacksonville, FL

Active since September 13, 2013PECOS Enrolled
76.2/100
CMS Quality Rating
2401 MONUMENT RD, JACKSONVILLE, FL 32225(904) 642-0337 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2020, Apr 10, 2020, Jun 4, 2019 (3 updates tracked since 2019).

About Peter Kimball Pa-c NPPES

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

PETER KIMBALL PA-C (NPI 1689009201) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9112110) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689009201
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePETER KIMBALLCredential: PA-C
Location Address2401 MONUMENT RDJacksonville, FL 32225-2520
Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-2000
Phone(904) 642-0337
Sole ProprietorNo
Enumeration DateSeptember 13, 2013
Last NPPES UpdateOctober 9, 20203 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
✔ NPI 1689009201 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 FL · PA9112110
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.
2401 MONUMENT RD, Jacksonville, FL 32225
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Secondary Practice Locations 2

Location 14502 Medical DrSan Antonio, TX 78229-4402 · Phone (210) 358-2078
Location 24500 San Pablo Rd SJacksonville, FL 32224-1865 · Phone (904) 953-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Kimball Pa-c 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
207 services203 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
195 services190 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32225 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

76.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.33
Promoting Interoperability100
Improvement Activities40
Cost51.32

Other Providers at the Same Location NPPES 4

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

SOLANTIC OF JACKSONVILLE, LLC
Clinic/Center (Urgent Care)
2401 MONUMENT RD
JACKSONVILLE, FL 32225
Duval County (904) 642-0337
JENNY VUONG COOKE PA-C
Physician Assistant
2401 MONUMENT RD
JACKSONVILLE, FL 32225
Duval County (904) 642-0337
DR. HANNAH GAILLARD WEISS DNP
Nurse Practitioner (Family)
2401 MONUMENT RD
JACKSONVILLE, FL 32225
Duval County (904) 420-3376
SOLANTIC URGENT CARE
Pharmacy
2401 MONUMENT RD
JACKSONVILLE, FL 32225
Duval County (904) 642-0337

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 Peter Kimball's NPI number?

The NPI number for Peter Kimball is 1689009201. It was assigned to this individual provider in the NPPES registry on September 13, 2013.

Where is Peter Kimball located?

Peter Kimball practices at 2401 Monument Rd, Jacksonville, FL 32225. The listed phone number is (904) 642-0337.

What is Peter Kimball's specialty?

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

Is Peter Kimball enrolled in Medicare?

Yes. Peter Kimball is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Kimball was last updated on October 9, 2020. 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.