Koby Kimball , PA-C
Physician Assistant β’ Springfield, IL
619 E Mason St
Springfield, IL 627011034
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
619 E Mason St
Springfield, IL 627011034
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Prairie Cardiovascular Consultants Ltd. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2025
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Open Payments general payments, program year 2025
All general payments: $43.41 across 2 records.
By nature of payment
- Food and Beverage: $43.41 across 2 records.
Reporting-company totals
- Boston Scientific Corporation: $29.23 across 1 record.
- AstraZeneca Pharmaceuticals LP: $14.18 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 2025 (published June 30, 2026).
Years since graduation
1 years (graduated 2025)
CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2023
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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.
Enrolled in Medicare (PECOS)
Koby Kimball has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Koby Kimball as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Springfield and Illinois
103 active clinicians are listed under Physician Assistant with a practice address in Springfield, IL (4,929 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Springfield
10.7% of these 103 clinicians have the CMS telehealth indicator.
76.7% of these 103 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 2025 only.
Sources: CMS Open Payments (2025), 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 2025 (payments made January 1 β December 31, 2025): fewer than 11 records totaling $43.41.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
WATCHMAN Access System | General | $29.23 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
LOKELMA | General | $14.18 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-09-16NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20250818000587
IL
3476052473
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Prairie Cardiovascular Consultants Ltd
619 E Mason St, Springfield, IL 627011034
Phone: 2177880706
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Clinical Cardiac Electrophysiology
Doctor of Medicine (M.D.)
Internal Medicine - Interventional Cardiology
Doctor of Medicine (M.D.)
Nurse Practitioner - Acute Care
Internal Medicine - Interventional Cardiology
Doctor of Medicine (M.D.)
Internal Medicine - Clinical Cardiac Electrophysiology
Doctor of Medicine (M.D.)
Nurse Practitioner - Adult Health
Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 619 E MASON ST, SPRINGFIELD, IL 627011034 (Tel: 2177880706)
Registered at 619 E MASON ST, SPRINGFIELD, IL 627011034 (Tel: 2177880706)
Recorded as KOBY KIMBALL, PA-C
NPI status registered as active in NPPES database
Registered at 420 CLIPPER RD, SPRINGFIELD, IL 627118010 (Tel: 3607138586)
Registered at 420 CLIPPER RD, SPRINGFIELD, IL 627118010 (Tel: 3607138586)
Recorded as KOBY KIMBALL
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Springfield
- Amanda Shull, PA-C
- Taylor Manivannan, PA-C
- Jennifer Meeker, PA
- Lisa Lyons, PA-C
- Dorothy Pham, PA-C
- Emily Fendrich, PA-C
Mailing Address
619 E Mason St
Springfield, IL 627011034
Phone: 2177880706