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ROBERT R KIMMEL JR. MD
NPI 1912155706
Internal Medicine - Endocrinology, Diabetes & Metabolism in Puyallup, WA

Active since September 04, 2008PECOS EnrolledAccepts Medicare Assignment
93.25/100
CMS Quality Rating
1029 E MAIN STE 104, PUYALLUP, WA 98372(253) 446-6977(253) 604-4703 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2023, Jan 31, 2023, Jan 21, 2022 and 1 more (4 updates tracked since 2018).

About Robert R Kimmel Jr. Md NPPES

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

ROBERT R KIMMEL JR. MD (NPI 1912155706) is an individual endocrinology, diabetes & metabolism provider in Puyallup, Washington, licensed in Washington (MD00020915) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Multicare Good Samaritan Hospital, and is a graduate of Saint Louis University School Of Medicine (1979).

NPPES Registry Identity

NPI1912155706
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameROBERT R KIMMEL JR.Credential: MD
Location Address1029 E MAIN STE 104Puyallup, WA 98372-3814
Mailing Address1029 E Main Ste 104Puyallup, WA 98372-3814 · (253) 446-6977 · Fax (253) 604-4703
Phone(253) 446-6977
Fax(253) 604-4703
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1979
Enumeration DateSeptember 4, 2008
Last NPPES UpdateOctober 2, 20234 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1912155706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in WA · MD00020915✔ Licensed in MO · 36385
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1029 E MAIN STE 104, Puyallup, WA 98372
Open in Google Maps ↗

Other Identifiers 2

Medicaid8562209WA
Other36385MO · Missouri License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Robert R Kimmel Jr. 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 ID2961562855
PECOS Enrollment IDI20090910000103
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 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.
655 services300 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
319 services126 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
233 services89 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
74 services74 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
74 services54 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
62 services61 patients

Hospital Affiliations CMS Care Compare 2

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

Multicare Good Samaritan Hospital

Acute Care Hospitals · Puyallup, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500079
Location401 15th Avenue SEPuyallup, WA 98372 · Pierce County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98372 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

93.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.5
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers27 claims350 services$17.39 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers24 claims835 services$2.17 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers71 claims326 services$6.02 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
5 suppliers16 claims1,110 services$7.56 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
12 suppliers159 claims161 services$191.08 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 3

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

JULIA ELIZABETH KELLEY FNP
Nurse Practitioner
1029 E MAIN STE 104
PUYALLUP, WA 98372
Pierce County (253) 446-6977
VIEWPOINT ENDOCRINOLOGY PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1029 E MAIN STE 104
PUYALLUP, WA 98372
Pierce County (253) 446-6977
MARGARET DAILEY
Nurse Practitioner
1029 E MAIN STE 104
PUYALLUP, WA 98372
Pierce County (697) 725-3446

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 Robert Kimmel's NPI number?

The NPI number for Robert Kimmel is 1912155706. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Where is Robert Kimmel located?

Robert Kimmel practices at 1029 E Main Ste 104, Puyallup, WA 98372. The listed phone number is (253) 446-6977.

What is Robert Kimmel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Robert Kimmel enrolled in Medicare?

Yes. Robert Kimmel 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 Robert Kimmel accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Robert Kimmel 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 Robert Kimmel affiliated with any hospitals?

According to CMS data, Robert Kimmel is affiliated with Multicare Good Samaritan Hospital and Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Robert Kimmel was last updated on October 2, 2023. 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.