KIMBERLY M CASTRO MD
NPI 1942332325
Emergency Medicine in Athens, GA

Active since March 12, 2007PECOS EnrolledAccepts Medicare Assignment
81.01/100
CMS Quality Rating
1199 PRINCE AVE, EMERGENCY MEDICINE, 2ND FLOOR, ATHENS, GA 30606(706) 475-7000 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly M Castro Md NPPES

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

KIMBERLY M CASTRO MD (NPI 1942332325) is an individual emergency medicine provider in Athens, Georgia, licensed in Georgia (65746) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2006).

NPPES Registry Identity

NPI1942332325
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKIMBERLY M CASTROCredential: MD
Location Address1199 PRINCE AVE, EMERGENCY MEDICINE, 2ND FLOORAthens, GA 30606-2797
Mailing Address1199 Prince Ave, Emergency Medicine, 2nd FloorAthens, GA 30606-2797 · (706) 475-7000
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2006
Enumeration DateMarch 12, 2007
Last NPPES UpdateFebruary 20, 2025
NPPES CertifiedFebruary 20, 2025
NPI 1942332325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in GA · 65746
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1199 PRINCE AVE, Athens, GA 30606

Other Names 1

Former Name (1)Kimberly C Tomlinson Md

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 M Castro 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 ID5890973812
PECOS Enrollment IDI20110622000362
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
185 services183 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
123 services121 patients
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.
36 services36 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

81.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.01
Improvement Activities40

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.

Neurological Surgery
1199 PRINCE AVE
ATHENS, GA 30606
Hospitalist
1199 PRINCE AVE
ATHENS, GA 30606
Nurse Anesthetist, Certified Registered
1199 PRINCE AVE
ATHENS, GA 30606
Physician Assistant
1199 PRINCE AVE
ATHENS, GA 30606
Anesthesiology
1199 PRINCE AVE
ATHENS, GA 30606
Anesthesiologist Assistant
1199 PRINCE AVE
ATHENS, GA 30606
Specialist/Technologist, Other (Surgical Assistant)
1199 PRINCE AVE
ATHENS, GA 30606
Internal Medicine (Cardiovascular Disease)
1199 PRINCE AVE
ATHENS, GA 30606

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 Castro's NPI number?

The NPI number for Kimberly Castro is 1942332325. It was assigned to this individual provider in the NPPES registry on March 12, 2007. The provider is also known as Kimberly C Tomlinson MD.

Where is Kimberly Castro located?

Kimberly Castro practices at 1199 Prince Ave Emergency Medicine, 2nd Floor, Athens, GA 30606. The listed phone number is (706) 475-7000.

What is Kimberly Castro's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kimberly Castro enrolled in Medicare?

Yes. Kimberly Castro 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.

Is Kimberly Castro affiliated with any hospitals?

According to CMS data, Kimberly Castro is affiliated with Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Castro was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.