DR. KELLY ANN MACKESSY DO
NPI 1003317421
Surgery - Surgical Oncology in Edgewood, KY

Active since February 21, 2018PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 578-5880(859) 578-5881 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 17, 2025, Aug 12, 2024, Jul 1, 2024 and 1 more (4 updates tracked since 2018).

About Dr. Kelly Ann Mackessy Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY ANN MACKESSY DO (NPI 1003317421) is an individual surgical oncology provider in Edgewood, Kentucky, licensed in Kentucky (05917) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and maintains a secondary practice location in Greendale.

NPPES Registry Identity

NPI1003317421
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameDR. KELLY ANN MACKESSYCredential: DO
Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403
Mailing AddressPo Box 636324Cincinnati, OH 45263-6324 · (859) 301-2273 · Fax (859) 301-6182
Fax(859) 578-5881
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 21, 2018
Last NPPES UpdateFebruary 17, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
NPI 1003317421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Licenses Licensed in KY · 05917 Licensed in KY · TP376 Licensed in IN · 02008207A
Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X · License 02008207A (IN)
1 MEDICAL VILLAGE DR, Edgewood, KY 41017

Secondary Practice Location 1

Location 117525 Greendale Plaza DrGreendale, IN 47025-8299 · Phone (812) 496-7710 · Fax (812) 496-7711

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelly Ann Mackessy Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355698374
PECOS Enrollment IDI20241031002564, I20250312001275
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Physician Assistant
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Emergency Medicine
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Radiology (Diagnostic Radiology)
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mackessy's NPI number?

The NPI number for Kelly Mackessy is 1003317421. It was assigned to this individual provider in the NPPES registry on February 21, 2018.

Where is Kelly Mackessy located?

Kelly Mackessy practices at 1 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 578-5880.

What is Kelly Mackessy's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Kelly Mackessy enrolled in Medicare?

Yes. Kelly Mackessy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Mackessy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 1 other insurer list Kelly Mackessy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Mackessy affiliated with any hospitals?

According to CMS data, Kelly Mackessy is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Kelly Mackessy was last updated on February 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.