DR. KIMBERLY MARIE FORDHAM MD
NPI 1881127173
Internal Medicine in Fredericksburg, VA

Q: What is Kimberly Fordham's NPI number?

The NPI number for Kimberly Fordham is 1881127173. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Q: What is Kimberly Fordham's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Fordham was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 04, 2017PECOS EnrolledAccepts Medicare Assignment

1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401(540) 741-4350 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 31, 2025, May 2, 2022 (2 updates tracked since 2022).

On this page

About Dr. Kimberly Marie Fordham Md NPPES

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

DR. KIMBERLY MARIE FORDHAM MD (NPI 1881127173) is an individual internal medicine provider in Fredericksburg, Virginia, licensed in Virginia (0101269335) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Duluth, and maintains a secondary practice location in Lawrenceville.

NPPES Registry Identity

NPI1881127173

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. KIMBERLY MARIE FORDHAMCredential: MD

Location Address1001 SAM PERRY BLVDFredericksburg, VA 22401-4453

Mailing Address2300 Fall Hill AveFredericksburg, VA 22401-3342 · (540) 741-4350

Phone(540) 741-4350

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 4, 2017

Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1881127173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in VA · 0101269335✔ Licensed in GA · 83558

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1001 SAM PERRY BLVD, Fredericksburg, VA 22401

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Secondary Practice Location 1

Location 1665 Duluth Hwy Ste 501Lawrenceville, GA 30046-8709 · Phone (678) 312-0400 · Fax (678) 312-0423

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar 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

Dr. Kimberly Marie Fordham Md 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 ID4385902824

PECOS Enrollment IDI20250528002565

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 Fordham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mary Washington Healthcare Providers LLC

Same address

Hospitalist

1001 SAM PERRY BLVD
Fredericksburg, VA 22401

Reassigned Medicare billing, Virginia enrollment
323 clinicians in this Medicare group

NPI 1750826277 (540) 741-1821

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc

26 mi

Health Maintenance Organization

13285 MINNIEVILLE ROAD
Woodbridge, VA 22192

Reassigned Medicare billing, Virginia enrollment
995 clinicians in this Medicare group

NPI 1972275196 (301) 816-2424

Gwinnett Hospital System Gme, LLC

472 mi

Family Medicine

1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046

Reassigned Medicare billing, Georgia enrollment
41 clinicians in this Medicare group

NPI 1780076927 (855) 709-4535

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 4

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 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

566 services274 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.

189 services124 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

164 services160 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110252

Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers28 claims28 services$14.55 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers28 claims28 services$69.06 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 20

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

JUSTIN HAMWAY RACKLEY MD

Anesthesiology