MISS KIMBERLY ANITA GORE P.A.-C.
NPI 1700929296
Physician Assistant in San Antonio, FL

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment
30115 COUNTY ROAD 52 STE 101, SAN ANTONIO, FL 33576(813) 467-4244 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2024, Sep 28, 2021 (2 updates tracked since 2021).

About Miss Kimberly Anita Gore P.a.-c. NPPES

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

MISS KIMBERLY ANITA GORE P.A.-C. (NPI 1700929296) is an individual physician assistant in San Antonio, Florida, licensed in Florida (PA2625) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Tampa, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700929296
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS KIMBERLY ANITA GORECredential: P.A.-C.
Location Address30115 COUNTY ROAD 52 STE 101San Antonio, FL 33576-8243
Mailing Address30115 County Road 52 Ste 101San Antonio, FL 33576-8243 · (813) 467-4244
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateFebruary 14, 2007
Last NPPES UpdateMarch 8, 20242 updates tracked since enumeration
NPPES CertifiedMarch 8, 2024
NPI 1700929296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA2625
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA0002625 (FL)
30115 COUNTY ROAD 52 STE 101, San Antonio, FL 33576

Secondary Practice Locations 2

Location 12919 W Swann Ave Ste 106Tampa, FL 33609-4049 · Phone (813) 930-2829 · Fax (813) 930-9522
Location 26340 Fort King RdZephyrhills, FL 33542-2531 · Phone (813) 782-6116

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 and accepts Medicare assignment

Miss Kimberly Anita Gore P.a.-c. 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 ID5092080820
PECOS Enrollment IDI20171004003070
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
42 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
22 services22 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.
18 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33576 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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
30115 COUNTY ROAD 52 STE 101
SAN ANTONIO, FL 33576

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 Gore's NPI number?

The NPI number for Kimberly Gore is 1700929296. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Kimberly Gore located?

Kimberly Gore practices at 30115 County Road 52 Ste 101, San Antonio, FL 33576. The listed phone number is (813) 467-4244.

What is Kimberly Gore's specialty?

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

Is Kimberly Gore enrolled in Medicare?

Yes. Kimberly Gore 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 Kimberly Gore accept?

Health plans from Wellpoint list Kimberly Gore 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.

Is Kimberly Gore affiliated with any hospitals?

According to CMS data, Kimberly Gore is affiliated with Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Kimberly Gore was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.