KIMBERLY RACHEL JERDAN M.D.
NPI 1821431891
Dermatology in Oklahoma City, OK

Q: What is Kimberly Jerdan's NPI number?

The NPI number for Kimberly Jerdan is 1821431891. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Q: What is Kimberly Jerdan's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Jerdan was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment

5915 W MEMORIAL RD STE 300, OKLAHOMA CITY, OK 73142(405) 773-6470(405) 773-6463 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 22, 2019, Nov 26, 2018 (2 updates tracked since 2018).

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About Kimberly Rachel Jerdan M.d. NPPES

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

KIMBERLY RACHEL JERDAN M.D. (NPI 1821431891) is an individual dermatology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (35118) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2013).

NPPES Registry Identity

NPI1821431891

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameKIMBERLY RACHEL JERDANCredential: M.D.

Location Address5915 W MEMORIAL RD STE 300Oklahoma City, OK 73142-2022

Mailing Address5300 N Independence Ave Ste 280Oklahoma City, OK 73112-5555 · (405) 773-6470 · Fax (405) 773-6463

Phone(405) 773-6470

Fax(405) 773-6463

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2013

Enumeration DateApril 9, 2013

Last NPPES UpdateAugust 22, 20192 updates tracked since enumeration

✔ NPI 1821431891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in OK · 35118

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

5915 W MEMORIAL RD STE 300, Oklahoma City, OK 73142

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Rachel Jerdan M.d. 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 ID7315257987

PECOS Enrollment IDI20190917002409

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

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

Integris Ambulatory Care Corporation

3.0 mi

Family Medicine

3001 QUAIL SPRINGS PKWY
Oklahoma City, OK 73134

Reassigned Medicare billing, Oklahoma enrollment
1,058 clinicians in this Medicare group

NPI 1750333936 (405) 951-2298

Jerdan Dermatology Laser And Aesthetic Institute PLLC

11 mi

Dermatology

1211 N SHARTEL AVE STE 802
Oklahoma City, OK 73103

Reassigned Medicare billing, Oklahoma enrollment

NPI 1033706445 (405) 212-2280

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 16

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

434 services57 patients

Ultrasonic guidance for placement of radiation therapy fields G6001

Ultrasonic guidance for radiation therapy fields involves using sound waves to create images of the treatment area. This helps to precisely locate the area needing radiation therapy, ensuring the treatment is directed accurately, minimizing harm to healthy tissues.

363 services18 patients

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

342 services16 patients

Superficial and/or low voltage radiation treatment delivery 77401

Superficial and/or low voltage radiation treatment delivery is a non-invasive procedure used to treat certain diseases like skin cancer. It uses low energy radiation to target and destroy abnormal cells, aiding in halting disease progression.

329 services16 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.

109 services79 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.

104 services74 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

95 services69 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

57 services16 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

38 services32 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

36 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

35 services35 patients

Continuing radiation therapy consultation per week 77336

Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.

31 services14 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

26 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

23 services23 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

16 services13 patients

Simple radiation therapy planning 77261

Simple radiation therapy planning is a process to determine the exact area on your body where the radiation will be directed. It involves imaging studies like CT scans to precisely target the disease, minimizing harm to healthy tissue. It's a crucial step in your treatment journey.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73142 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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 8

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

DR. TOMMY A IBRAHIM M.D.

Internal Medicine