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DR. KELLY MASON DO
NPI 1003848979
Family Medicine in Pontiac, MI

Active since July 07, 2006PECOS Enrolled
1701 BALDWIN AVE STE 102, PONTIAC, MI 48340(248) 334-4962(810) 733-1632 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2021, Nov 9, 2020 (2 updates tracked since 2020).

About Dr. Kelly Mason Do NPPES

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

DR. KELLY MASON DO (NPI 1003848979) is an individual family medicine provider in Pontiac, Michigan, licensed in Michigan (5101016328) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003848979
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KELLY MASONCredential: DO
Location Address1701 BALDWIN AVE STE 102Pontiac, MI 48340-1168
Mailing Address1 Genesys PkwyGrand Blanc, MI 48439-8065 · (810) 606-5000
Phone(248) 334-4962
Fax(810) 733-1632
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 7, 20212 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
✔ NPI 1003848979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101016328
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1701 BALDWIN AVE STE 102, Pontiac, MI 48340
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Mason Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Mason reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oakland Integrated Healthcare Network
Same address
Federally Qualified Health Center (FQHC)
1701 BALDWIN AVE
Pontiac, MI 48340
  • Reassigned Medicare billing, Michigan enrollment
  • 46 clinicians in this Medicare group
NPI 1457711202 (248) 724-7600
Ascension Genesys Hospital
22 mi
Hospice and Palliative Medicine
1 GENESYS PKWY
Grand Blanc, MI 48439
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Henry Ford Health Genesys Hospital
  • 103 clinicians in this Medicare group
NPI 1104236249 (810) 606-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48340 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mason's NPI number?

The NPI number for Kelly Mason is 1003848979. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Kelly Mason located?

Kelly Mason practices at 1701 Baldwin Ave Ste 102, Pontiac, MI 48340. The listed phone number is (248) 334-4962.

What is Kelly Mason's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Mason enrolled in Medicare?

Yes. Kelly Mason is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Mason's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mason reassigns Medicare benefits to 2 organizations: Oakland Integrated Healthcare Network (Pontiac, MI) and Ascension Genesys Hospital (Grand Blanc, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Mason's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Mason accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Kelly Mason 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.

When was this NPI record last updated?

The NPPES record for Kelly Mason was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.