Active NPI 1164956066 Individual Practitioner Female Practitioner

Kimberly Burgess , AGNP-C

Nurse Practitioner • O Fallon, IL

Professional Overview & Biography Verified Profile Summary

Kimberly Burgess, AGNP-C is a registered healthcare professional specializing in Nurse Practitioner in O Fallon, IL. Practice services are available at 670 PIERCE BLVD under active NPI credentials.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

670 Pierce Blvd

O Fallon, IL 622692579

Telephone 6182062094

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in O Fallon, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 8.5 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

19 Specialists

Practicing in O Fallon, IL (4929 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	134	30	$7.00	$1.14
J1100 Injection, dexamethasone sodium phosphate, 1 mg	101	28	$6.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	74	$201.00	$108.85
99213 Established patient office or other outpatient visit, typically 15 minutes	81	69	$135.00	$77.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$203.00	$97.85
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	57	37	$273.00	$101.09
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	40	12	$226.00	$131.99
20551 Injection into tendon at attachment to bone or muscle	20	20	$196.00	$48.56
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	14	$377.00	$47.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	281	59	$7.00	$1.29
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	94	55	$273.00	$96.87
99213 Established patient office or other outpatient visit, typically 15 minutes	87	64	$135.00	$79.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	68	$201.00	$111.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$203.00	$93.61
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	51	16	$226.00	$137.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	27	$81.00	$48.35
20610 Aspiration and/or injection of fluid from large joint	27	25	$186.00	$57.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$313.00	$147.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	180	34	$7.00	$1.45
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	60	35	$273.00	$85.52
99213 Established patient office or other outpatient visit, typically 15 minutes	51	49	$135.00	$63.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	34	$201.00	$94.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$203.00	$93.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	581	91	$7.00	$1.59
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	215	88	$273.00	$71.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	108	$201.00	$89.78
99213 Established patient office or other outpatient visit, typically 15 minutes	81	71	$135.00	$62.71
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	79	19	$226.00	$142.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$203.00	$92.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$313.00	$140.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	25	$81.00	$37.80
20610 Aspiration and/or injection of fluid from large joint	21	18	$186.00	$49.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	518	97	$7.00	$1.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	121	$201.00	$90.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$203.00	$92.68
20610 Aspiration and/or injection of fluid from large joint	114	68	$186.00	$49.59
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	110	61	$273.00	$71.89
99213 Established patient office or other outpatient visit, typically 15 minutes	90	72	$135.00	$61.78
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	83	19	$223.28	$142.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$81.00	$36.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$313.00	$142.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$203.00	$92.43

Medical Specialties & State Licenses

CMS Verified: 2021-12-29

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209015757

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Michael Hohm , PA-C

Physician Assistant

NPI 1114542404

Physician Assistant (Certified)

Michael Mcguire , PA-C, ATC

Physician Assistant

NPI 1164931960

Physician Assistant (Certified), Certified Athletic Trainer

Ricki Loar , APN

Nurse Practitioner - Family

NPI 1194723312

Advanced Practice Nurse

Dr. Andres Lerner , MD

Orthopaedic Surgery - Hand Surgery

NPI 1285865204

Doctor of Medicine (M.D.)

Kody Hindman

Physician Assistant

NPI 1295378610

Dr. Richard Derby , MD

Family Medicine - Sports Medicine

NPI 1295720845

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

📍

Updated Practice Location December 29, 2021

Registered at 670 PIERCE BLVD, O FALLON, IL 622692579 (Tel: 6182062094)

📍

Updated Business Mailing Address December 29, 2021

Registered at 670 PIERCE BLVD, O FALLON, IL 622692579 (Tel: 6182062094)

📍

Updated Practice Location January 19, 2019

Registered at 3 SAINT ELIZABETH BLVD STE 5000, O FALLON, IL 622691282 (Tel: 6186145803)

📍

Updated Business Mailing Address January 19, 2019

Registered at 3 SAINT ELIZABETH BLVD STE 5000, O FALLON, IL 622691282 (Tel: 6186145803)

✅

NPI Profile Active July 28, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 28, 2017

Registered at 1512 N GREEN MOUNT RD, O FALLON, IL 622692083 (Tel: 6186220155)

📍

Updated Business Mailing Address July 28, 2017

Registered at 489 GASTORF COURT, O' FALLON, IL 622698510 (Tel: (618) 514-7363)

👤

Provider Name / Credentials Updated July 28, 2017

Recorded as KIMBERLY BURGESS, AGNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2017

Nurse Practitioner (License #209015757 in IL)

✅

NPI Profile Active April 18, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 18, 2017

Registered at 489 GASTORF COURT, O' FALLON, IL 622698510 (Tel: 6185147363)

📍

Updated Business Mailing Address April 18, 2017

Registered at 489 GASTORF COURT, O' FALLON, IL 622698510 (Tel: 6185147363)

👤

Provider Name / Credentials Updated April 18, 2017

Recorded as KIMBERLY BURGESS, AGNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2017

Nurse Practitioner (License #2017004633 in MO)

🟢

Initial NPI Registration & Enumeration April 18, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164956066

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 18, 2017

Last Update: December 29, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

670 Pierce Blvd

O Fallon, IL 622692579

Phone: 6182062094

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.