Dr. Kimberly N Hackney , DO
Pediatrics β’ O Fallon, MO
300 Winding Woods Dr Ste 120
O Fallon, MO 633664772
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
300 Winding Woods Dr Ste 120
O Fallon, MO 633664772
NPPES lists 1 additional practice-address record in Saint Louis, MO. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019β2025.
NPI first issued
2009
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.
Enrolled in Medicare (PECOS)
Dr. Hackney 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 Dr. Hackney 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 O Fallon and Missouri
20 active clinicians are listed under Pediatrics with a practice address in O Fallon, MO (1,562 in Missouri).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in O Fallon
0% of these 20 clinicians have the CMS telehealth indicator.
0% of these 20 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
NUCC 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.
NUCC Taxonomy Code: 2080P0204X
A pediatrician who has special qualifications to manage emergencies in infants and children.
NUCC Taxonomy Code: 2080P0204X
A pediatrician who has special qualifications to manage emergencies in infants and children.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - EMERGENCY MEDICINE
I20120924000349
MO
6103074737
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
615 S New Ballas Rd, Suite 6006b
Saint Louis, MO 631418221
Phone: 3142516299
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at 300 WINDING WOODS DR STE 120, O FALLON, MO 633664772 (Tel: 6369787902)
Registered at 615 S NEW BALLAS RD, SUITE 6006B, SAINT LOUIS, MO 631418221 (Tel: 3142516299)
Recorded as KIMBERLY HACKNEY, D.O.
Pediatrics (license number reported to NPPES: MO 2010037113)
NPI status registered as active in NPPES database
Registered at 615 S NEW BALLAS RD, SUITE 6006B, SAINT LOUIS, MO 631418221 (Tel: 3142516299)
Registered at 621 S NEW BALLAS RD, SUITE 6006B, SAINT LOUIS, MO 631418232 (Tel: 3142516299)
Recorded as KIMBERLY HACKNEY, D.O.
Pediatrics (license number reported to NPPES: MO 2010037113)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Pediatrics Specialists in O Fallon
Healthcare providers in O FallonMailing Address
300 Winding Woods Dr Ste 120
O Fallon, MO 633664772
Phone: 6369787902