CMS-1500 Box 24J / 33a • NPI
1750772018
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207N00000X (CMS 07)
Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)
Box 32 Service Location & ZIP+4
1060 GAFFNEY RD, FT WAINWRIGHT, AK, 99703-5002
✓ 9-Digit EDI 837 ZIP+4 (99703-5002)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1750772018 (KATE KIMES, D.O.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1750772018)
Medicare Beneficiaries
841
Total Billed Services
4,174
Distinct CPT/HCPCS Codes
56
Medicare Allowed Total
$278,181.99
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
11102 | Biopsy of related skin growth, first growth | 275 |
11103 | Biopsy of related skin growth, each additional growth | 147 |
11104 | Punch biopsy, first skin growth | 22 |
11602 | Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | 13 |
11900 | Injection into skin growth, 1-7 growths | 14 |
12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 31 |
17000 | Destruction of precancer skin growth, 1 growth | 414 |
17003 | Destruction of precancer skin growth, 2-14 growths | 1,304 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1750772018 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KATE KIMES, D.O. |
| Plain-English Specialty | Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) NUCC Code: 207N00000X (Dermatology) |
| Certifying / Licensing Body | American Board of Dermatology (ABD) |
| Practice Location Address | 1060 GAFFNEY RD, FT WAINWRIGHT, AK, 99703-5002 |
| Practice Telephone / Fax | Tel: (907) 361-5644 | Fax: (907) 361-4823 |
| Administrative Mailing Address | 1060 GAFFNEY RD, FT WAINWRIGHT, AK, 99703-5002 |
| Enumeration & Last Sync | Enumerated: 2015-02-09 | CMS Record Updated: 2021-12-28 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207N00000X)
What Does Taxonomy Code 207N00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207N00000X translates to:
"Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KATE KIMES, D.O.)
Typical CPT / Diagnostic Procedures:- Full-Body Dermoscopy & Skin Cancer Screening
- Shave, Punch & Excisional Skin Biopsy (CPT 11102–11107)
- Cryotherapy Destruction of Actinic Keratoses & Viral Warts (CPT 17000)
- Topical Corticosteroids (Triamcinolone, Clobetasol) & Calcineurin Inhibitors
- Topical & Oral Retinoids (Tretinoin, Adapalene, Isotretinoin)
- Doxycycline, Minocycline & Antifungals (Terbinafine, Ketoconazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207N00000X — DermatologyPlain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) | State: NE | License: 1513 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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