Doctor profile · Federal record
Dr. Mary Kimball, PA
Physician Assistant · Physician Assistant · Jacksonville, FL
- NPI 1184050874
- Accepts Medicare
- MIPS 76.2 / 100 · 2023
- 13 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4500 San Pablo RD S
Jacksonville, FL 322241865
(904) 953-2000 - Additional location
-
1032 S Ww White RD
San Antonio, TX 782202531
(210) 447-3033
fax (210) 447-3036
Credentials & registration
- NPI registered
- September 2013 — 13 yrs on file
- Profile last updated
- September 1, 2020
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- Florida #PA9112061 · Texas #PA08782
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1184050874. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
210
Distinct HCPCS
2
Medicare allowed
$18,643
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 112 | 103 | $74 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 98 | 90 | $106 |
In context: peer comparison
Among 202 peers in Jacksonville Physician Assistant, average services per provider: 155. This provider delivers 1.4× the peer median.Open Payments
Industry payments received
All-time total
$120
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals Lp | 1 | $119.87 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
93
Patients
23
Total drug cost
$1,169
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gabapentin | Generic | 19 | 0 | $401 |
| Losartan Potassium | Generic | 19 | 11 | $361 |
| Montelukast Sodium | Generic | 15 | 0 | $147 |
| Lisinopril | Generic | 14 | 0 | $91 |
| Atorvastatin Calcium | Generic | 13 | 0 | $133 |
| Prednisone | Generic | 13 | 12 | $35 |
Frequently asked questions
What is Dr. Mary Kimball's medical specialty?
Dr. Mary Kimball practices Physician Assistant in Jacksonville, FL.
Where does Dr. Mary Kimball practice?
Dr. Mary Kimball practices at 4500 San Pablo RD S, Jacksonville, FL 322241865. Office phone: 9049532000.
What is Dr. Mary Kimball's NPI?
Dr. Mary Kimball's National Provider Identifier (NPI) is 1184050874, issued by NPPES.
Does Dr. Mary Kimball accept Medicare assignment?
Yes. Dr. Mary Kimball accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mary Kimball commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.