DR. JACOB NATHANIEL KELLY MD
NPI 1023713856
Family Medicine in Binghamton, NY

Q: What is Jacob Kelly's NPI number?

The NPI number for Jacob Kelly is 1023713856. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Jacob Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Kelly was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since April 03, 2023PECOS Enrolled

169 RIVERSIDE DR, BINGHAMTON, NY 13905(607) 798-5111 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 26, 2026, Apr 3, 2023 (2 updates tracked since 2023).

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About Dr. Jacob Nathaniel Kelly Md NPPES

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

DR. JACOB NATHANIEL KELLY MD (NPI 1023713856) is an individual family medicine provider in Binghamton, New York, licensed in New York (345349) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023713856

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JACOB NATHANIEL KELLYCredential: MD

Location Address169 RIVERSIDE DRBinghamton, NY 13905-4246

Mailing Address8 Woodland AveCortland, NY 13045-1824 · (607) 259-1148

Phone(607) 798-5111

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 3, 2023

Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1023713856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 345349

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

169 RIVERSIDE DR, Binghamton, NY 13905

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob Nathaniel Kelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466925714

PECOS Enrollment IDI20260626003958

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 Reassignment

Medicare enrollment records show Jacob Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Highland Hospital Of Rochester

112 mi

Nephrology

1000 SOUTH AVE
Rochester, NY 14620

Reassigned Medicare billing, New York enrollment
465 clinicians in this Medicare group

NPI 1043597826 (585) 341-6895

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 13905 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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.

JOANN MARIE ERNST FNP

Nurse Practitioner (Family)