Dr. Kevin K. Niebaum , DO
Pediatrics β’ Jacksonville, FL
2080 Child St
Jacksonville, FL 322143647
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
2080 Child St
Jacksonville, FL 322143647
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.
Open Payments general payments, program year 2019
All general payments: $24.46 across 2 records.
By nature of payment
- Food and Beverage: $24.46 across 2 records.
Reporting-company totals
- Pfizer Inc.: $12.31 across 1 record.
- Tris Pharma Inc: $12.15 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2019 (published June 30, 2026).
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Jacksonville and Florida
215 active clinicians are listed under Pediatrics with a practice address in Jacksonville, FL (4,001 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Jacksonville
0.5% of these 215 clinicians have the CMS telehealth indicator.
2.8% of these 215 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2019 only.
Sources: CMS Open Payments (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2019 (payments made January 1 β December 31, 2019): fewer than 11 records totaling $24.46.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
EUCRISA | General | $12.31 |
| Tris Pharma Inc |
Food and Beverage
In-kind items and services
|
Quillivant XR | General | $12.15 |
Source: CMS Open Payments, program year 2019, released June 30, 2026.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-02-06NUCC Taxonomy Code: 208000000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner
Advanced Registered Nurse Practitioner
Anesthesiology
Doctor of Osteopathic Medicine (D.O.)
Nurse Anesthetist, Certified Registered
Registered Nurse, Certified Registered Nurse Anesthetist
Internal Medicine - Cardiovascular Disease
Doctor of Osteopathic Medicine (D.O.)
Emergency Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2080 CHILD ST, JACKSONVILLE, FL 322143647 (Tel: 9045429703)
Registered at 2080 CHILD ST, JACKSONVILLE, FL 322143600 (Tel: 9045429703)
NPI status registered as active in NPPES database
Registered at 306 CORDER RD, SUITE 1, WARNER ROBINS, GA 310883647 (Tel: 4789223074)
Registered at 306 CORDER RD, SUITE 1, WARNER ROBINS, GA 310883647 (Tel: 4789223074)
Recorded as KEVIN NIEBAUM, D.O.
Pediatrics (license number reported to NPPES: GA 047353)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Pediatrics Specialists in Jacksonville
- Dr. Rita Nathawad, MD
- Dr. Rachel Egbujor, MD
- Dr. Victoria Array, MD
- Dr. Jeffrey Goldhagen, MD
- Dr. Akilah Pope, MD
- Dr. Kimberly Lord-Strulovic, MD
Mailing Address
2080 Child St
Jacksonville, FL 322143600
Phone: 9045429703