KIMBERLY HAMMER
NPI 1710583521
Pediatrics in Milwaukee, WI

NPI Status: Active since December 07, 2020

Contact Information

9000 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226
Phone: (414) 226-2000

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  • Individual
  • Female
  • Pediatrics
  • Accepts Insurance
  • PECOS Enrolled

About KIMBERLY HAMMER

This page provides the complete NPI Profile along with additional information for Kimberly Hammer, a pediatrician established in Milwaukee, Wisconsin with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1710583521 assigned on December 2020. The practitioner's primary taxonomy code is 208000000X with license number 1524-33 (WI). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1710583521
Provider Name
KIMBERLY HAMMER
Gender
Female
Entity Type
Individual
Location Address
9000 W WISCONSIN AVE MILWAUKEE, WI 53226
Location Phone
(414) 226-2000
Mailing Address
9000 W WISCONSIN AVE MILWAUKEE, WI 53226
Mailing Phone
(414) 226-2000
Is Sole Proprietor?
No
Enumeration Date
12-07-2020
Last Update Date
07-24-2024
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A pediatrician like Kimberly Hammer is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
1524-33
License State
WI
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue ACA StandardHealth Silver with Health Choice - HMO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Kimberly Hammer is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 53226 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.92
  • Minimum New Patient Price $53.9
  • Maximum New Patient Price $163.24
  • Average New Patient Copayment $20.73
  • Minimum New Patient Copayment $13.47
  • Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $95.41
  • Minimum Established Patient Price $17.4
  • Maximum Established Patient Price $133.76
  • Average Established Patient Copayment $23.85
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $33.44

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for KIMBERLY HAMMER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710583521
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720108654
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 0 + 8 + 6 + 5 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1710583521 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. SHANE A FISHER DDS

Dentist

(Pediatric Dentistry)

9000 W WISCONSIN AVE
MAIL STATION 773-DENTAL CLINIC
MILWAUKEE, WI
ZIP 53226

(414) 266-2040

CRAIG C PORTER MD

Pediatrics

(Pediatric Nephrology)

9000 W WISCONSIN AVE
PEDIATRIC NEPHROLOGY
MILWAUKEE, WI
ZIP 53226

(414) 337-7702

ANGELA MARIE PICKART MS

Genetic Counselor, MS

9000 W WISCONSIN AVE
MS 716
MILWAUKEE, WI
ZIP 53226

(414) 266-2910

DR. SRIDHAR RAO M.D., PH.D.

Pediatrics

(Pediatric Hematology-Oncology)

9000 W WISCONSIN AVE
PEDIATRIC HEMATOLOGY/ONCOLOGY
MILWAUKEE, WI
ZIP 53226

(414) 266-2420

DR. KEVIN J KELLY MD

Pediatrics

(Pediatric Allergy/Immunology)

9000 W WISCONSIN AVE
PEDIATRIC ALLERGY/IMMUNOLOGY
MILWAUKEE, WI
ZIP 53226

(414) 607-5280

MR. ROGER D. COHEN M.D.

Surgery

(Pediatric Surgery)

9000 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226

(414) 805-3666

DR. BRUCE M CAMITTA MD

Pediatrics

(Pediatric Hematology-Oncology)

9000 W WISCONSIN AVE
CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI
ZIP 53226

(414) 456-4170

DR. CHERYL A MUSZYNSKI MD

Neurological Surgery

9000 W WISCONSIN AVE
CHILDREN'S HEALTH SYS OFFICE BLDG
MILWAUKEE, WI
ZIP 53226

(414) 805-3666

DR. JENNIFER L FREETO MD

Hospitalist

9000 W WISCONSIN AVE
CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI
ZIP 53226

(414) 805-3666

DR. ERIC J WALBERGH MD

Anesthesiology

(Critical Care Medicine)

9000 W WISCONSIN AVE
PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI
ZIP 53226

(414) 266-3560

DR. ANDREA L WINTHROP MD

Surgery

(Pediatric Surgery)

9000 W WISCONSIN AVE
CHILDREN'S HEALTH SYS OFFICE BLDG
MILWAUKEE, WI
ZIP 53226

(414) 805-3666

DR. MICHAEL B LEVY MD

Allergy & Immunology

9000 W WISCONSIN AVE
CHILDREN'S HEALTH SYS OFFICE BLDG
MILWAUKEE, WI
ZIP 53226

(414) 805-3666

DR. BARBARA W PALMISANO MD

Anesthesiology

9000 W WISCONSIN AVE
PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI
ZIP 53226

(414) 266-3560

DR. ROBERT R MONTGOMERY MD

Pediatrics

(Pediatric Hematology-Oncology)

9000 W WISCONSIN AVE
CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI
ZIP 53226

(414) 805-3666

MS. KATHY A EGGENER NP

Registered Nurse

9000 W WISCONSIN AVE
CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI
ZIP 53226

(414) 805-3666

DR. TATYANA C STRONG MD

Anesthesiology

9000 W WISCONSIN AVE
PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI
ZIP 53226

(414) 266-3560

MS. LORI SUE WIOREK MA, CCC-A

Audiologist

9000 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226

(414) 266-2931

DR. MARK A KOSTIC MD

Emergency Medicine

(Medical Toxicology)

9000 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226

(414) 805-3666

MR. JOHN M. ROUTES M.D.

Pediatrics

(Pediatric Allergy/Immunology)

9000 W WISCONSIN AVE
PEDIATRIC ALLERY AND IMMUNOLOGY
MILWAUKEE, WI
ZIP 53226

(414) 266-6450

MS. DIANE MARIE CONTRERAS AU.D.,CCC-A

Audiologist

9000 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226

(414) 266-7674

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710583521, enumerated as an "individual" on December 07, 2020.

The provider is located at 9000 W WISCONSIN AVE MILWAUKEE, WI 53226 and the phone number is (414) 226-2000.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Medica and. Please consult your insurance carrier or call the provider to verify.