Kate Kimes, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

1513 Issued in NE

Practice address

1060 Gaffney Rd
Ft Wainwright, AK 99703-5002

Phone

(907) 361-5644

Fax

(907) 361-4823

NPI assigned

Feb 9, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kate Baldridge Former name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Arizona College of Osteopathic Medicine Mid Western University, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Laser Assoc. of MedfordGroup PAC ID 9436122793, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
• Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002

Merit-based Incentive Payment System (MIPS)

Final score

95.74 of 100Reported as group

Quality

99.5

Promoting interoperability

100

Improvement activities

40

Cost

86.3

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kate@dermlasermedford.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatology and Laser Associates of Medford

  • Dermatology Physician
  • Medford, OR
  • NPI 1336294321
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Asante

  • General Acute Care Hospital
  • Medford, OR
  • NPI 1770587107
  Care Compare affiliation
• Asante Three Rivers Medical Center, LLC

  • General Acute Care Hospital
  • Grants Pass, OR
  • NPI 1801891809
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1750772018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035002",
            "telephone_number": "907-361-5644",
            "fax_number": "907-361-4823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 E Holland Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992181257",
            "country_code": "US",
            "telephone_number": "509-444-6367",
            "fax_number": "509-444-6371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMES",
        "first_name": "KATE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NE",
            "license": "1513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "BALDRIDGE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Anne Kandra, ATC
• Shelly Karg, LCSW
• Joshua Karrer, DPT
• Laura Nowels Kaster, M.D.
• Laurence Preston Keim, PA-C
• Danita Nevitt Koehler, MD
• Deborah Lynn Kokrine, R.N.
• Mitchell P Kreuze, DDS
• Benjamin Lampe, M.D.
• Ryan Michael Laplace, M.D.

• Dermatology Physician in Ft Wainwright, AK
• Providers in Ft Wainwright, AK by specialty
• Dermatology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.