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KIMBERLY DESSOURCES
NPI 1922402064
Obstetrics & Gynecology - Gynecologic Oncology in Raleigh, NC

Active since October 17, 2014PECOS EnrolledAccepts Medicare Assignment
2901 BLUE RIDGE RD STE 200, RALEIGH, NC 27607(919) 784-6875 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Dessources NPPES

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

KIMBERLY DESSOURCES (NPI 1922402064) is an individual gynecologic oncology provider in Raleigh, North Carolina, licensed in North Carolina (2022-02157) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922402064
Entity TypeIndividualFemale
Primary Taxonomy207VX0201X
Provider Legal NameKIMBERLY DESSOURCES
Location Address2901 BLUE RIDGE RD STE 200Raleigh, NC 27607-6423
Mailing Address757 Westwood Plz, Room B713 RruclaLos Angeles, CA 90095-8358
Phone(919) 784-6875
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2014
Enumeration DateOctober 17, 2014
Last NPPES UpdateOctober 11, 2022
NPPES CertifiedOctober 11, 2022
✔ NPI 1922402064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in NC · 2022-02157
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2901 BLUE RIDGE RD STE 200, Raleigh, NC 27607
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1757 Westwood Plz, Room B713 RRUCLALos Angeles, CA 90095-8358 · Phone (310) 825-8307
Location 2101 Manning DrChapel Hill, NC 27514-4220 · Phone (984) 974-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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 Dessources 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 ID4284000688
PECOS Enrollment IDI20221025003515
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 6

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.
65 services41 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.
62 services46 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.
21 services21 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.
18 services14 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.
15 services15 patients
Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 58571
This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Johnston Health

Acute Care Hospitals · Smithfield, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340090
Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 4

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

REX HOSPITAL INC
Obstetrics & Gynecology (Gynecologic Oncology)
2901 BLUE RIDGE RD STE 200
RALEIGH, NC 27607
Wake County (919) 784-6875
KARI EMA HACKER MD, PHD
Obstetrics & Gynecology (Gynecologic Oncology)
2901 BLUE RIDGE RD STE 200
RALEIGH, NC 27607
Wake County (919) 784-6875
MRS. LAURA CHRISTINE REDMOND NP
Nurse Practitioner (Adult Health)
2901 BLUE RIDGE RD STE 200
RALEIGH, NC 27607
Wake County (919) 784-6818
MS. MARGARET LEIGH STOWASSER PA-C
Physician Assistant
2901 BLUE RIDGE RD STE 200
RALEIGH, NC 27607
Wake County (919) 784-6875

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 Dessources's NPI number?

The NPI number for Kimberly Dessources is 1922402064. It was assigned to this individual provider in the NPPES registry on October 17, 2014.

Where is Kimberly Dessources located?

Kimberly Dessources practices at 2901 Blue Ridge Rd Ste 200, Raleigh, NC 27607. The listed phone number is (919) 784-6875.

What is Kimberly Dessources's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Kimberly Dessources enrolled in Medicare?

Yes. Kimberly Dessources 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 Dessources accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kimberly Dessources 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 Dessources affiliated with any hospitals?

According to CMS data, Kimberly Dessources is affiliated with Unc Hospitals, Johnston Health, Rex Hospital and Unc Health Nash.

When was this NPI record last updated?

The NPPES record for Kimberly Dessources was last updated on October 11, 2022. 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.