KIMBERLY K EDWARDS PA-C
NPI 1740616010
Physician Assistant in Fort Thomas, KY

Active since September 18, 2013PECOS EnrolledAccepts Medicare Assignment
92.22/100
CMS Quality Rating
85 N GRAND AVE, FORT THOMAS, KY 41075(859) 572-3618(859) 572-2326 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2024, May 28, 2021, Jun 6, 2019 (3 updates tracked since 2019).

About Kimberly K Edwards Pa-c NPPES

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

KIMBERLY K EDWARDS PA-C (NPI 1740616010) is an individual physician assistant in Fort Thomas, Kentucky, licensed in Kentucky (PA2473) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (2012).

NPPES Registry Identity

NPI1740616010
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY K EDWARDSCredential: PA-C
Location Address85 N GRAND AVEFort Thomas, KY 41075-1793
Mailing AddressPo Box 18667Erlanger, KY 41018-0667 · (513) 312-2247 · Fax (859) 572-2326
Fax(859) 572-2326
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2012
Enumeration DateSeptember 18, 2013
Last NPPES UpdateJune 21, 20243 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
NPI 1740616010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in KY · PA2473 Licensed in IN · 10003082A Licensed in OH · 003842
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.
85 N GRAND AVE, Fort Thomas, KY 41075

Other Names 1

Former Name (1)Kimberly K Bauer

Other Identifiers 3

Medicaid0093322OH
Medicaid7100603110KY
Medicaid300044877IN

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

Kimberly K Edwards Pa-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 ID6507092640
PECOS Enrollment IDI20190715002468, I20201110001905
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.

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.
59 services57 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
58 services29 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.
56 services56 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
41 services41 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.
31 services31 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

St Elizabeth Dearborn Hospital

Acute Care Hospitals · Lawrenceburg, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150086
Location600 Wilson Creek RdLawrenceburg, IN 47025 · Dearborn County
Emergency services Birthing friendly

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41075 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

92.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.64
Improvement Activities40

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
85 N GRAND AVE
FORT THOMAS, KY 41075
Physician Assistant
85 N GRAND AVE
FORT THOMAS, KY 41075
Pharmacist
85 N GRAND AVE
FORT THOMAS, KY 41075
Physical Therapist
85 N GRAND AVE
FORT THOMAS, KY 41075
Emergency Medicine
85 N GRAND AVE
FORT THOMAS, KY 41075
Family Medicine (Geriatric Medicine)
85 N GRAND AVE
FORT THOMAS, KY 41075
Respiratory Therapist, Certified
85 N GRAND AVE
FORT THOMAS, KY 41075
Family Medicine (Hospice and Palliative Medicine)
85 N GRAND AVE
FORT THOMAS, KY 41075

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 Edwards's NPI number?

The NPI number for Kimberly Edwards is 1740616010. It was assigned to this individual provider in the NPPES registry on September 18, 2013. The provider is also known as Kimberly K Bauer.

Where is Kimberly Edwards located?

Kimberly Edwards practices at 85 N Grand Ave, Fort Thomas, KY 41075. The listed phone number is (859) 572-3618.

What is Kimberly Edwards's specialty?

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

Is Kimberly Edwards enrolled in Medicare?

Yes. Kimberly Edwards 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 Edwards accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Kimberly Edwards 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 Edwards affiliated with any hospitals?

According to CMS data, Kimberly Edwards is affiliated with St Elizabeth Dearborn Hospital and St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Kimberly Edwards was last updated on June 21, 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.