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KIMBERLY A. ROBINSON MD
NPI 1801990056
Internal Medicine - Pulmonary Disease in Marlborough, MA

Active since September 09, 2006PECOS Enrolled
97.02/100
CMS Quality Rating
159 UNION ST, SUITE 102, MARLBOROUGH, MA 01752(508) 486-5733(508) 486-5879 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly A. Robinson Md NPPES

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

KIMBERLY A. ROBINSON MD (NPI 1801990056) is an individual pulmonary disease provider in Marlborough, Massachusetts, licensed in Massachusetts (220453) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthcare-marlborough Hospital, and is a graduate of George Washington University School Of Medicine (2000).

NPPES Registry Identity

NPI1801990056
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameKIMBERLY A. ROBINSONCredential: MD
Location Address159 UNION ST, SUITE 102Marlborough, MA 01752-1274
Mailing AddressPo Box 726Leominster, MA 01453-0726
Phone(508) 486-5733
Fax(508) 486-5879
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2000
Enumeration DateSeptember 9, 2006
Last NPPES UpdateMay 19, 2023
NPPES CertifiedMay 19, 2023
✔ NPI 1801990056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MA · 220453
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
159 UNION ST, Marlborough, MA 01752
Open in Google Maps ↗

Other Identifiers 1

Medicaid2139014MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly A. Robinson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022060359
PECOS Enrollment IDI20050215000870
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kimberly Robinson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mass Lung & Critical Care, PLLC
Same address
Critical Care Medicine
157 UNION ST
Marlborough, MA 01752
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2 clinicians in this Medicare group
NPI 1992496301 (508) 942-7935
Mass Lung & Allergy, PC.
17 mi
Pulmonary Disease
100 HOSPITAL RD, SUITE 2A
Leominster, MA 01453
  • Reassigned Medicare billing, Massachusetts enrollment
  • 18 clinicians in this Medicare group
NPI 1679734545 (978) 466-2692

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
339 services98 patients
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.
128 services72 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
53 services49 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
48 services48 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
42 services42 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
40 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Healthcare-Marlborough Hospital

Acute Care Hospitals · Marlborough, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220049
Location157 Union StreetMarlborough, MA 01752 · Middlesex County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01752 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 26

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers28 claims28 services$34.58 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers30 claims63 services$1.19 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers30 claims30 services$74.74 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers33 claims52 services$28.03 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers12 claims43 services$14.77 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers19 claims19 services$46.16 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 7

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

DR. PETER JOHN MIOTTO M.D.
Specialist
159 UNION ST, SUITE 104
MARLBOROUGH, MA 01752
Middlesex County (508) 229-3640
JOSEPH L BOUCHARD M.D.
Internal Medicine (Cardiovascular Disease)
159 UNION ST
MARLBOROUGH, MA 01752
Middlesex County (508) 624-9687
CAITLIN E OLSEN NP
Nurse Practitioner (Psychiatric/Mental Health)
159 UNION ST
MARLBOROUGH, MA 01752
Middlesex County (508) 624-9687
DANIEL CARLUCCI M.D.
Internal Medicine (Cardiovascular Disease)
159 UNION ST, SUITE 103
MARLBOROUGH, MA 01752
Middlesex County (508) 624-9687
JOSEPH F ADOLPH MD
Urology
159 UNION ST
MARLBORO, MA 01752
Middlesex County (508) 481-0246
MARY THERESA REED R.N., N.P.
Nurse Practitioner
159 UNION ST, SUITE 103
MARLBOROUGH, MA 01752
Middlesex County (508) 624-9688
MASSACHUSETTS CARDIOLOGY ASSOC LLC
Internal Medicine (Cardiovascular Disease)
159 UNION ST, STE 102
MARLBOROUGH, MA 01752
Middlesex County (508) 624-9687

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 Robinson's NPI number?

The NPI number for Kimberly Robinson is 1801990056. It was assigned to this individual provider in the NPPES registry on September 9, 2006.

Where is Kimberly Robinson located?

Kimberly Robinson practices at 159 Union St Suite 102, Marlborough, MA 01752. The listed phone number is (508) 486-5733.

What is Kimberly Robinson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kimberly Robinson enrolled in Medicare?

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

Which organizations bill Medicare for Kimberly Robinson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Robinson reassigns Medicare benefits to 2 organizations: Mass Lung & Critical Care, PLLC (Marlborough, MA) and Mass Lung & Allergy, PC. (Leominster, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Robinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kimberly Robinson affiliated with any hospitals?

According to CMS data, Kimberly Robinson is affiliated with Umass Memorial Healthcare-Marlborough Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Kimberly Robinson was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.