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KIMBERLY JEANNE DEERY D.O.
NPI 1992081392
Pediatrics in Gibbsboro, NJ

Active since October 30, 2011PECOS Enrolled
63 N LAKEVIEW DR, SUITE 202, GIBBSBORO, NJ 08026(856) 435-6000(856) 782-1667 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly Jeanne Deery D.o. NPPES

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

KIMBERLY JEANNE DEERY D.O. (NPI 1992081392) is an individual pediatrics provider in Gibbsboro, New Jersey, licensed in New Jersey (25MB09678700) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992081392
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKIMBERLY JEANNE DEERYCredential: D.O.
Location Address63 N LAKEVIEW DR, SUITE 202Gibbsboro, NJ 08026-1026
Mailing Address63 N Lakeview Dr, Suite 202Gibbsboro, NJ 08026-1026 · (856) 435-6000 · Fax (856) 782-1667
Phone(856) 435-6000
Fax(856) 782-1667
Sole ProprietorNo
Enumeration DateOctober 30, 2011
Last NPPES UpdateJune 11, 2015
✔ NPI 1992081392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MB09678700
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
63 N LAKEVIEW DR, Gibbsboro, NJ 08026
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Other Names 1

Former Name (1)Kimberly Jeanne Young

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Jeanne Deery D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kimberly Deery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocare, LLC
3.8 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08026 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 6

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

ADVOCARE, LLC
Pediatrics
63 N LAKEVIEW DR, SUITE 202
GIBBSBORO, NJ 08026
Camden County (856) 435-6000
ROSEMARIE C VILLAMAYOR MD
Family Medicine
63 N LAKEVIEW DR, SUITE 201
GIBBSBORO, NJ 08026
Camden County (856) 783-1777
CHRISTINE MICHELLE KEMBER APN
Nurse Practitioner (Pediatrics)
63 N LAKEVIEW DR, SUITE 202
GIBBSBORO, NJ 08026
Camden County (856) 435-6000
RISHA JAMES HERTZ CRNP
Nurse Practitioner (Gerontology)
63 N LAKEVIEW DR, BLDG. B, STE. 201
GIBBSBORO, NJ 08026
Camden County (856) 783-1777
DR. DIANA LEE D.O.
Pediatrics
63 N LAKEVIEW DR, SUITE 202
GIBBSBORO, NJ 08026
Camden County (856) 435-6000
DR. GORDON LEE LERCH DO
Family Medicine
63 N LAKEVIEW DR, SUITE 202
GIBBSBORO, NJ 08026
Camden County (856) 435-6000

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 Deery's NPI number?

The NPI number for Kimberly Deery is 1992081392. It was assigned to this individual provider in the NPPES registry on October 30, 2011. The provider is also known as Kimberly Jeanne Young.

Where is Kimberly Deery located?

Kimberly Deery practices at 63 N Lakeview Dr Suite 202, Gibbsboro, NJ 08026. The listed phone number is (856) 435-6000.

What is Kimberly Deery's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kimberly Deery enrolled in Medicare?

Yes. Kimberly Deery is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Deery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Deery reassigns Medicare benefits to Advocare, LLC (Marlton, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Deery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Deery was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.