Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jon Potter Kimball, MD

Individual provider Orthopaedic Surgery Physician · NPI 1205917374

Jon Potter Kimball, MD is an Orthopedic Surgery in Clearwater, Florida. Qualified in 2002, 24 years ago. Practices with Comprehensive Spine Institute, LLC, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
24
Licensed in
FL, NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1988 Gulf To Bay Blvd
Clearwater, FL 33765-3550
Phone: (727) 953-8090
Fax: (727) 953-8088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 120 William Penn Plz, Durham, NC 27704-2150 — (919) 220-5255

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence ME96185 (FL)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 2013-00103 (NC)

Record details

NPI number1205917374
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022
Mailing address1988 Gulf To Bay Blvd, Clearwater, FL 33765-3550

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Comprehensive Spine Institute, Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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