Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KIMBERLY A MARKUNS M.D.
NPI 1689632507
Emergency Medicine in Newburyport, MA

Active since May 02, 2006PECOS Enrolled
91.41/100
CMS Quality Rating
25 HIGHLAND AVE, NEWBURYPORT, MA 01950(978) 463-1303(978) 463-1360 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly A Markuns M.d. NPPES

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

KIMBERLY A MARKUNS M.D. (NPI 1689632507) is an individual emergency medicine provider in Newburyport, Massachusetts, licensed in Massachusetts (160842) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Anna Jaques Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689632507
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKIMBERLY A MARKUNSCredential: M.D.
Location Address25 HIGHLAND AVENewburyport, MA 01950-3867
Mailing Address25 Highland AveNewburyport, MA 01950-3867 · (978) 463-1303 · Fax (978) 463-1360
Fax(978) 463-1360
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 1995
Enumeration DateMay 2, 2006
Last NPPES UpdateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
NPI 1689632507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MA · 160842
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
25 HIGHLAND AVE, Newburyport, MA 01950

Secondary Practice Locations 2

Location 1147 S Main StMiddleton, MA 01949-2446 · Phone (978) 774-2555 · Fax (978) 774-8715
Location 299 Conifer Hill DrDanvers, MA 01923-1193 · Phone (978) 774-2555 · Fax (978) 774-8715

Other Identifiers 5

OtherAA101422MA · Pilgrim Health
Medicaid3200574MA
Other000000047365MS · Bmc Healthnet
Other407479MA · Tufts
OtherJ21320MA · Bcbs

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

Kimberly A Markuns 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 ID1254238777
PECOS Enrollment IDI20031215000123
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 16

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
674 services155 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
605 services142 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
522 services164 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
224 services100 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
178 services80 patients
Management of oxygen chamber therapy 99183
Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.
93 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220029
Location25 Highland AvenueNewburyport, MA 01950 · Essex County
Emergency services Birthing friendly

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220075
Location243 Charles StreetBoston, MA 02114 · Suffolk County
Emergency services

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01950 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
6 suppliers39 claims3,340 services$0.10 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
4 suppliers24 claims867 services$7.13 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
5 suppliers38 claims3,090 services$0.11 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
6 suppliers23 claims2,796 services$0.38 avg. paid by Medicare
Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each A6545
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims23 services$81.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Anesthesiology
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Emergency Medicine
25 HIGHLAND AVE, ANNA JAQUES HOSPITAL- EMERGENCY DEPT
NEWBURYPORT, MA 01950
Physician Assistant
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Nurse Anesthetist, Certified Registered
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Nurse Practitioner (Psychiatric/Mental Health)
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Emergency Medicine
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Internal Medicine
25 HIGHLAND AVE
NEWBURYPORT, MA 01950

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 Markuns's NPI number?

The NPI number for Kimberly Markuns is 1689632507. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Kimberly Markuns located?

Kimberly Markuns practices at 25 Highland Ave, Newburyport, MA 01950. The listed phone number is (978) 463-1303.

What is Kimberly Markuns's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kimberly Markuns enrolled in Medicare?

Yes. Kimberly Markuns 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.

Is Kimberly Markuns affiliated with any hospitals?

According to CMS data, Kimberly Markuns is affiliated with Anna Jaques Hospital, Northeast Hospital Corporation, North Shore Medical Center -, Massachusetts Eye And Ear Infirmary - and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Kimberly Markuns was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.