KIMBERLY SUE CROSS MD
NPI 1689671406
Pediatrics in Charleston, WV

Active since July 07, 2005PECOS Enrolled
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302(304) 388-2526(304) 388-2537 Get Directions Write a Review

NPPES record last updated: July 5, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Sue Cross Md NPPES

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

KIMBERLY SUE CROSS MD (NPI 1689671406) is an individual pediatrics provider in Charleston, West Virginia, licensed in West Virginia (19689) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689671406
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKIMBERLY SUE CROSSCredential: MD
Location Address800 PENNSYLVANIA AVECharleston, WV 25302-3351
Mailing Address800 Pennsylvania Ave, Children's Medicine CenterCharleston, WV 25302 · (304) 388-2525 · Fax (304) 388-2537
Fax(304) 388-2537
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateJuly 5, 2019
NPI 1689671406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in WV · 19689
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedInternal MedicineTaxonomy 207R00000X · License 19689 (WV)
800 PENNSYLVANIA AVE, Charleston, WV 25302

Other Identifiers 3

Other001721334WV · Ms Bcbs
Medicaid3002030000WV
Other7354454WV · Aetna

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kimberly Sue Cross Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25302 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Pharmacist
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Pharmacist
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Pharmacist
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Psychologist
800 PENNSYLVANIA AVE, FAMILY RESOURCE CENTER WOMEN & CHILDRENS HOSPITAL
CHARLESTON, WV 25302
Social Worker (Clinical)
800 PENNSYLVANIA AVE, FRC
CHARLESTON, WV 25302
Psychologist
800 PENNSYLVANIA AVE, CAMC FAMILY RESOURCE CENTER
CHARLESTON, WV 25302
Nurse Anesthetist, Certified Registered
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302

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 Cross's NPI number?

The NPI number for Kimberly Cross is 1689671406. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Kimberly Cross located?

Kimberly Cross practices at 800 Pennsylvania Ave, Charleston, WV 25302. The listed phone number is (304) 388-2526.

What is Kimberly Cross's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kimberly Cross enrolled in Medicare?

Yes. Kimberly Cross is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Cross accept?

Health plans from CareSource list Kimberly Cross 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 Cross was last updated on July 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.