DR. KIMBALL W SILVERTON DO
NPI 1013924570
Dermatology in Grand Blanc, MI
NPI Status: Active since August 01, 2006
Contact Information
8245 HOLLY RD
GRAND BLANC, MI
ZIP 48439
Phone: (810) 606-7500
Fax: (810) 606-9600
- Individual
- Male
- Dermatology
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About KIMBALL SILVERTON
This page provides the complete NPI Profile along with additional information for Kimball Silverton, a provider established in Grand Blanc, Michigan with a medical specialization in Dermatology. The healthcare provider is registered in the NPI registry with number 1013924570 assigned on August 2006. The practitioner's primary taxonomy code is 207N00000X with license number 5101009273 (MI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1013924570
- Provider Name
- DR. KIMBALL W SILVERTON DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8245 HOLLY RD GRAND BLANC, MI 48439
- Location Phone
- (810) 606-7500
- Location Fax
- (810) 606-9600
- Mailing Address
- 307 E COURT ST FLINT, MI 48502
- Mailing Phone
- (810) 424-2007
- Mailing Fax
- (810) 606-9600
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-01-2006
- Last Update Date
- 09-20-2007
- Code Navigator
A dermatologist like Kimball Silverton is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 5101009273
- License State
- MI
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4069719 | MEDICAID (05) | MI | |
| M78790001 | MEDICARE PIN (08) | MI | |
| B49216 | MEDICARE UPIN (02) | MI | |
| 0752501485 | OTHER (01) | MI | BCBSM INDIVIDUAL PIN |
Medicare Participation & PECOS Enrollment Status
Kimball Silverton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48439 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.74
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Biopsy Follow-Up | 100% | 83 |
| Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician | ||
| Documentation of Current Medications in the Medical Record | 100% | 1961 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 99% | 2531 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
| Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
| Medication Reconciliation | 5% | 198 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 92% | 1510 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 86% | 1510 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 40% | 1510 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 9 | 2 | 4 | 5 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 18 | 2 | 8 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 1 + 8 + 2 + 8 + 5 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1013924570 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417090317 | SILVERTON SKIN INSTITUTE PLLC Organization | Dermatology | 8245 HOLLY RD SUITE 101 GRAND BLANC, MI 48439 (810) 606-7500 |
| 1265699292 | SHERYL L CARPENTER OT Individual | Occupational Therapist | 8245 HOLLY RD SUITE 204 GRAND BLANC, MI 48439 (810) 603-0040 |
| 1083871008 | MARIE M EMERT PT Individual | Physical Therapist | 8245 HOLLY RD SUITE 204 GRAND BLANC, MI 48439 (810) 603-0040 |
| 1952568990 | CHARLENE M COMBS OT Individual | Occupational Therapist | 8245 HOLLY RD SUITE 204 GRAND BLANC, MI 48439 (810) 603-0040 |
| 1528225430 | KAMI E MARTINEZ SLP Individual | Speech-Language Pathologist | 8245 HOLLY RD SUITE 204 GRAND BLANC, MI 48439 (810) 603-0040 |
| 1922265842 | LISA K BRIGGS Individual | Physical Therapy Assistant | 8245 HOLLY RD SUITE 204 GRAND BLANC, MI 48439 (810) 603-0040 |
| 1780841502 | LINDA M GARRISON SLP Individual | Speech-Language Pathologist | 8245 HOLLY RD SUITE 204 GRAND BLANC, MI 48439 (810) 603-0040 |
| 1073754248 | GAIL HENIG MA CCC-SLP Individual | Speech-Language Pathologist | 8245 HOLLY RD SUITE 204 GRAND BLANC, MI 48439 (810) 603-0040 |
| 1730320664 | MRS. ELIZABETH NICKERSON OTR Individual | Occupational Therapist | 8245 HOLLY RD SUITE 204 GRAND BLANC, MI 48439 (810) 603-0040 |
| 1922028612 | LARRY BRAVER D.O. Individual | Family Medicine | 8245 HOLLY RD STE 102A GRAND BLANC, MI 48439 (810) 694-0300 |
| 1568631315 | LARRY BRAVER DO PC Organization | Family Medicine | 8245 HOLLY RD STE 102A GRAND BLANC, MI 48439 (810) 694-0300 |
| 1568498772 | CHRISTOPHER DAVID TYKOCKI D.O. Individual | Obstetrics & Gynecology | 8245 HOLLY RD SUITE 103 GRAND BLANC, MI 48439 (810) 694-2720 |
| 1104067206 | JENNIFER CHRISTINE EDWARDS-MAYES MA CCC-SLP Individual | Speech-Language Pathologist | 8245 HOLLY RD SUITE 204 GRAND BLANC, MI 48439 (810) 603-0040 |
| 1326829060 | KRYSTEN CHAMBERLAIN LMSW Individual | Social Worker | 8245 HOLLY RD GRAND BLANC, MI 48439 (810) 242-3740 |
| 1649617317 | JOSHUA MACK VINOVA MA, LLP Individual | Psychologist | 8245 HOLLY RD GRAND BLANC, MI 48439 (800) 693-1916 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013924570, enumerated in the NPI registry as an "individual" on August 01, 2006
The provider is located at 8245 Holly Rd Grand Blanc, Mi 48439 and the phone number is (810) 606-7500
The provider's speciality is Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Aetna CVS Health, Priority Health, Medicare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.74 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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