Doctor profile · Federal record
Dr. Jon Kimball, M.D.
Orthopaedic Surgery of the Spine Physician (CMS: Orthopedic Surgery) · Orthopaedic Surgery Physician · Los Angeles, CA
- NPI 1053720565
- Accepts Medicare
- 12 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1520 San Pablo St Ste 2000
Los Angeles, CA 900335322
(323) 442-5860 - Additional location
-
1055 N 300 W Ste 400
Provo, UT 846043359
(801) 655-4117 - Mailing address
-
Po Box 31309
Los Angeles, CA 900310309
Credentials & registration
- NPI registered
- August 2014 — 12 yrs on file
- Profile last updated
- June 19, 2020
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 207XS0117X — NUCC code
- State licenses (2)
- California #A139792 · Utah #11723472-1205
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053720565. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
607
Distinct HCPCS
10
Medicare allowed
$153,832
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 221 | 140 | $118 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 77 | 77 | $150 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 69 | 58 | $85 | |
22614 |
Fusion of additional segment of spine | 48 | 14 | $371 | |
22853 |
Insertion of cage or mesh device to spine bone and disc space during spine fusion | 48 | 27 | $241 | |
72110 |
X-ray of lower and sacral spine, minimum of 4 views | 37 | 34 | $47 | |
22842 |
Placement of stabilizing device to back, 3-6 spine bone segments | 16 | 15 | $725 | |
63047 |
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 15 | 15 | $916 | |
63048 |
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 15 | 12 | $200 | |
72050 |
X-ray of upper spine, 4-5 views | 15 | 14 | $47 |
In context: peer comparison
Among 10 peers in this city , average services per provider: 50. This provider delivers 12× the peer median.Open Payments
Industry payments received
All-time total
$239
Transactions
6
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Globus Medical, Inc. | 3 | $144.82 | |
| Aesculap, Inc. | 1 | $39.29 | |
| Medtronic, Inc. | 1 | $36.33 | |
| Boston Scientific Corporation | 1 | $18.20 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
155
Patients
95
Total drug cost
$1,401
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 73 | 49 | $461 |
| Gabapentin | Generic | 33 | 0 | $716 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 25 | 24 | $101 |
| Diazepam | Generic | 12 | 11 | $9 |
| Methylprednisolone | Generic | 12 | 11 | $114 |
Hospital affiliations
Frequently asked questions
What is Dr. Jon Kimball's medical specialty?
Dr. Jon Kimball practices Orthopaedic Surgery of the Spine Physician in Los Angeles, CA.
Where does Dr. Jon Kimball practice?
Dr. Jon Kimball practices at 1520 San Pablo St Ste 2000, Los Angeles, CA 900335322. Office phone: 3234425860.
What is Dr. Jon Kimball's NPI?
Dr. Jon Kimball's National Provider Identifier (NPI) is 1053720565, issued by NPPES.
Does Dr. Jon Kimball accept Medicare assignment?
Yes. Dr. Jon Kimball accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jon Kimball commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.