Active NPI 1598156176 Individual Practitioner Female Practitioner

Kimberly Devon Mccalpine , AGPCNP-BC

Nurse Practitioner • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Mccalpine, AGPCNP-BC is a certified Nurse Practitioner practicing in Houston, TX. With approximately 12 years of clinical experience since completing medical education in 2014, Kimberly Mccalpine delivers high-quality medical care to the local community at 6550 FANNIN ST.

Kimberly Mccalpine maintains professional affiliations with Tmh Physician Associates Pllc, Houston Methodist Specialty Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, established patient outpatient office visit, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6550 Fannin St
Suite 1601

Houston, TX 770302717

Telephone 7134415141

Associated Practice Facility / Clinic

🏢 Colon & Rectal Clinic, P. A. Facility NPI 1245223262

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Houston, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +0.1 yrs vs City Avg

City Avg: 11.9 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

800 Specialists

Practicing in Houston, TX (4894 Statewide)

Telehealth Adoption Rate

13.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccalpine (12 Years) 12 Yrs

Houston Specialty Average (11.9 Years) 11.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	14	$115.00	$42.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	25	$230.00	$82.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	25	$323.00	$123.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	526	77	$115.00	$42.49
99238 Hospital discharge day management, 30 minutes or less	37	21	$211.00	$65.88
99221 Initial hospital inpatient care per day, typically 30 minutes	34	29	$296.00	$70.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	16	$211.00	$64.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	405	77	$115.00	$33.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	16	$211.00	$61.25
99221 Initial hospital inpatient care per day, typically 30 minutes	31	29	$296.00	$83.28
99238 Hospital discharge day management, 30 minutes or less	19	15	$211.00	$62.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	205	64	$115.00	$32.89
99238 Hospital discharge day management, 30 minutes or less	15	13	$211.00	$62.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	427	93	$115.00	$34.45
99239 Hospital discharge day management, more than 30 minutes	46	35	$311.00	$85.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	21	$211.00	$63.43
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$296.00	$88.95
99238 Hospital discharge day management, 30 minutes or less	12	11	$211.00	$60.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	259	74	$115.00	$33.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	98	34	$211.00	$62.64
99221 Initial hospital inpatient care per day, typically 30 minutes	37	33	$296.00	$85.28
99239 Hospital discharge day management, more than 30 minutes	28	22	$311.00	$92.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	11	$401.00	$116.12
99238 Hospital discharge day management, 30 minutes or less	16	14	$211.00	$62.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$76.00	$21.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	224	74	$115.00	$33.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	170	55	$211.00	$62.65
99221 Initial hospital inpatient care per day, typically 30 minutes	41	36	$296.00	$81.21
99238 Hospital discharge day management, 30 minutes or less	41	36	$211.00	$61.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	23	$76.00	$21.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	27	$401.00	$113.89
99239 Hospital discharge day management, more than 30 minutes	15	14	$311.00	$85.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	351	68	$211.00	$61.80
99221 Initial hospital inpatient care per day, typically 30 minutes	49	34	$296.00	$85.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	19	$115.00	$33.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	25	$401.00	$113.64
99238 Hospital discharge day management, 30 minutes or less	34	22	$211.00	$62.37
99239 Hospital discharge day management, more than 30 minutes	31	25	$311.00	$85.77
99213 Established patient office or other outpatient visit, typically 15 minutes	23	19	$150.00	$43.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$76.00	$21.90

Medical Specialties & State Licenses

CMS Verified: 2024-10-30

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP127462

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

352546101 (TX)

Commercial Insurance / Payer ID Bcbs

8FU362 (TX)

Commercial Insurance / Payer ID Bcbs

8711NN (TX)

Hospital & Practice Group Affiliations

Houston Methodist Specialty Physicians

6565 Fannin St, Houston, TX 770302703

Tmh Physician Associates Pllc

6565 Fannin St, Houston, TX 770302703

Tmh Physician Associates Pllc

6565 Fannin St Main, Houston, TX 770302703

Phone: 7134410428

Tmh Physician Associates Pllc

7575 San Felipe St, Houston, TX 770631777

Phone: 7132669955

Houston Methodist Specialty Physicians

6445 Main St, Houston, TX 770301502

Phone: 7134413150

Houston Methodist Specialty Physicians

6565 Fannin St, Houston, TX 770302703

Practice Associates & Co-Workers

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

35 Associated Practitioners

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Surgery - Surgical Oncology

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Nurse Practitioner

Dr. Ahmed Gaber , MD

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Doctor of Medicine (M.D.)

Dr. Lee Morris , MD

Surgery - Vascular Surgery

NPI 1134300387

Doctor of Medicine (M.D.)

Dr. Mark Hobeika , MD

Surgery

NPI 1215129739

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

👤

Provider Name / Credentials Updated October 30, 2024

Recorded as KIMBERLY MCCALPINE, AGPCNP-BC

✅

NPI Profile Active January 17, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 17, 2017

Registered at 6550 FANNIN ST, SUITE 1601, HOUSTON, TX 770302717 (Tel: 7134415141)

📍

Updated Business Mailing Address January 17, 2017

Registered at 6550 FANNIN ST, SUITE 1601, HOUSTON, TX 770302717 (Tel: 7134415141)

👤

Provider Name / Credentials Updated January 17, 2017

Recorded as KIMBERLY HATTER, AGPCNP-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2017

Nurse Practitioner (License #AP127462 in TX)

✅

NPI Profile Active February 18, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 18, 2015

Registered at 6565 FANNIN ST, HOUSTON, TX 770302703 (Tel: 7137903311)

📍

Updated Business Mailing Address February 18, 2015

Registered at 2630 J R DR, MANVEL, TX 775783474

👤

Provider Name / Credentials Updated February 18, 2015

Recorded as KIMBERLY HATTER, AGPCNP-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2015

Nurse Practitioner (License #AP127462 in TX)

🟢

Initial NPI Registration & Enumeration February 18, 2015

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: 1598156176

Entity Type:

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

Enumeration Date: February 18, 2015

Last Update: October 30, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6550 Fannin St, Suite 1601

Houston, TX 770302717

Phone: 7134415141

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.