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Kimberlee M Middlekauff , PA

Physician Assistant โ€ข Charlottesville, VA

Active NPI 1629675475 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

1215 Lee St
Charlottesville, VA 229080816

Call 4349243627 Location details and other listings
Medical Disclaimer

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

Practice Address

1215 Lee St

Charlottesville, VA 229080816

Telephone 4349243627
Organization at the Same NPPES Address or Phone
Rector & Visitors Of The University Of Virginia Facility NPI 1588633317

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: University Of Virginia Physicians Group. 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

Graduation Year

2015

Medicare patients

60 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $2,993 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $2,387 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional 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

2020

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.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kimberlee Middlekauff 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kimberlee Middlekauff 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Charlottesville and Virginia

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 90% of clinicians listed under Physician Assistant in Charlottesville, VA (2024, 84 clinicians with data). Median for this group: 292. Middle half: 87 to 600.

Fewer Medicare Part B services than 90% of clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: 288. Middle half: 107 to 693.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Charlottesville, VA (2024, 84 clinicians with data). Median for this group: $23,086. Middle half: $7,998 to $37,923.

A lower Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: $23,153. Middle half: $9,003 to $44,800.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under Physician Assistant in Charlottesville, VA (2024, 84 clinicians with data). Median for this group: $17,121. Middle half: $6,313 to $26,127.

A lower Medicare payment amount than 85% of clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: $17,218. Middle half: $6,803 to $32,639.

156 active clinicians are listed under Physician Assistant with a practice address in Charlottesville, VA (4,411 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Charlottesville

14.1% of these 156 clinicians have the CMS telehealth indicator.

66.7% of these 156 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 13 $335.00 $79.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $299.00 $66.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
12 11 $295.00 $96.52

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES VA 0110007433

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.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

License # reported to NPPES VA 0110007433

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20211005000726

Enrollment State Jurisdiction

VA

PECOS Control ID

7618375767

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

University Of Virginia Physicians Group

515 Ray C Hunt Dr, Charlottesville, VA 229032981

Phone: 4342442000

University Of Virginia Physicians Group

2280 Ivy Rd, Charlottesville, VA 229034977

University Of Virginia Physicians Group

500 Ray C Hunt Dr, Charlottesville, VA 229032981

Phone: 4342434520

University Of Virginia Physicians Group

1215 Lee St, Charlottesville, VA 229080816

University Of Virginia Physicians Group

545 Ray C Hunt Dr, Charlottesville, VA 229032981

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1457083743

Doctor of Medicine (M.D.)

Adrian Ardron

Nurse Anesthetist, Certified Registered

NPI 1164128146
Deborah Baker , ACNP

Nurse Practitioner - Acute Care

NPI 1669654018
Dr. Jacob Boomgaardt , DO

Student in an Organized Health Care Education/Training Program

NPI 1508353764

Doctor of Osteopathic Medicine (D.O.)

Melinda Bowles-Childress , ACNP

Nurse Practitioner - Acute Care

NPI 1013255637
Melanie Brubaker , AG-ACNP

Nurse Practitioner - Acute Care

NPI 1447868336

Adult-Gerontology Acute Care Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
๐Ÿ“
Updated Business Mailing Address September 13, 2024

Registered at PO BOX 749112, ATLANTA, GA 303749112

๐Ÿ‘ค
Provider Name / Credentials Updated September 13, 2024

Recorded as KIMBERLEE MIDDLEKAUFF, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2024

Anesthesiology (license number reported to NPPES: VA 0110007433)

๐Ÿ‘ค
Provider Name / Credentials Updated November 21, 2022

Recorded as KIMBERLEE MIDDLEKAUFF, PA-C

๐Ÿ“
Updated Business Mailing Address December 03, 2021

Registered at PO BOX 9007, CHARLOTTESVILLE, VA 229069007

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2021

Physician Assistant (license number reported to NPPES: VA 0110007433)

โœ…
NPI Profile Active October 05, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) October 05, 2020

Registered at 1215 LEE ST, CHARLOTTESVILLE, VA 229080816 (Tel: 4349243627)

๐Ÿ“
Business Mailing Address (Initial Record) October 05, 2020

Registered at 1215 LEE ST, CHARLOTTESVILLE, VA 229080816

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) October 05, 2020

Recorded as KIMBERLEE MAUCK, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2020

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration October 05, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629675475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2020
Last Update: September 13, 2024
Sole Proprietor: No

Other Physician Assistants in Charlottesville

All Physician Assistants in Charlottesville

Mailing Address

Po Box 749112

Atlanta, GA 303749112

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.