DR. KELLEY RAE LOCKHART M.D.
NPI 1033192679
Internal Medicine - Critical Care Medicine in Fort Wayne, IN

Q: What is Kelley Lockhart's NPI number?

The NPI number for Kelley Lockhart is 1033192679. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Q: What is Kelley Lockhart's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Lockhart was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment

11104 PARKVIEW CIRCLE DR STE 110, FORT WAYNE, IN 46845(260) 425-6780(260) 425-6789 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 17, 2023, Jul 16, 2019 (2 updates tracked since 2019).

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About Dr. Kelley Rae Lockhart M.d. NPPES

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

DR. KELLEY RAE LOCKHART M.D. (NPI 1033192679) is an individual critical care medicine provider in Fort Wayne, Indiana, licensed in Indiana (01082503A) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of University Of Minnesota Medical School (2001).

NPPES Registry Identity

NPI1033192679

Entity TypeIndividualFemale

Primary Taxonomy207RC0200X

Provider Legal NameDR. KELLEY RAE LOCKHARTCredential: M.D.

Location Address11104 PARKVIEW CIRCLE DR STE 110Fort Wayne, IN 46845-1673

Mailing Address2222 N Nevada Ave Ste 4004Colorado Springs, CO 80907-6832 · (719) 471-7064

Phone(260) 425-6780

Fax(260) 425-6789

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2001

Enumeration DateNovember 29, 2005

Last NPPES UpdateJanuary 17, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2023

✔ NPI 1033192679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

Licenses✔ Licensed in IN · 01082503A✔ Licensed in CO · DR.0054479

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 47972 (MN)

11104 PARKVIEW CIRCLE DR STE 110, Fort Wayne, IN 46845

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Other Identifiers 1

Medicaid956422500MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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. Kelley Rae Lockhart M.d. 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 ID6507881299

PECOS Enrollment IDI20210728001906

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

205 services94 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

59 services39 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

33 services32 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

30 services29 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Community Medical Center

Acute Care Hospitals · Missoula, MT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270023

Location2827 Fort Missoula RdMissoula, MT 59804 · Missoula County

Emergency services Birthing friendly

Bitterroot Health - Daly Hospital

Critical Access Hospitals · Hamilton, MT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number271340

Location1200 Westwood DrHamilton, MT 59840 · Ravalli County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

RICHARD EDWIN CONWAY

Family Medicine