KIMBERLEY CAROL CLARK-PAUL M.D.
NPI 1952410987
Surgery in Port Huron, MI

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
1221 RICHARDSON ST, PORT HURON, MI 48060(810) 982-1111(810) 982-8848 Get Directions Write a Review

NPPES record last updated: February 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2018, Dec 20, 2016 (2 updates tracked since 2016).

About Kimberley Carol Clark-paul M.d. NPPES

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

KIMBERLEY CAROL CLARK-PAUL M.D. (NPI 1952410987) is an individual surgery provider in Port Huron, Michigan, licensed in Michigan (4301404907) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Mclaren Port Huron, and is a graduate of Wayne State University School Of Medicine (1984).

NPPES Registry Identity

NPI1952410987
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameKIMBERLEY CAROL CLARK-PAULCredential: M.D.
Location Address1221 RICHARDSON STPort Huron, MI 48060-3548
Mailing Address1216 Washington AvePort Huron, MI 48060-3555 · (810) 982-1111 · Fax (810) 982-8848
Fax(810) 982-8848
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1984
Enumeration DateAugust 30, 2006
Last NPPES UpdateFebruary 27, 20182 updates tracked since enumeration
NPI 1952410987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MI · 4301404907
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1221 RICHARDSON ST, Port Huron, MI 48060

Other Identifiers 1

Medicaid1952410987MI

Accepted 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

Kimberley Carol Clark-paul 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 ID2860470481
PECOS Enrollment IDI20101118001064
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 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.
101 services84 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.
39 services32 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.
22 services22 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.
18 services18 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.
11 services11 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 2

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

Surgery
1221 RICHARDSON ST
PORT HURON, MI 48060
Surgery
1221 RICHARDSON ST
PORT HURON, MI 48060

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 Kimberley Clark-paul's NPI number?

The NPI number for Kimberley Clark-paul is 1952410987. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Kimberley Clark-paul located?

Kimberley Clark-paul practices at 1221 Richardson St, Port Huron, MI 48060. The listed phone number is (810) 982-1111.

What is Kimberley Clark-paul's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kimberley Clark-paul enrolled in Medicare?

Yes. Kimberley Clark-paul 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 Kimberley Clark-paul accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Kimberley Clark-paul 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 Kimberley Clark-paul affiliated with any hospitals?

According to CMS data, Kimberley Clark-paul is affiliated with Mclaren Port Huron.

When was this NPI record last updated?

The NPPES record for Kimberley Clark-paul was last updated on February 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.