DR. KELLY JEAN VALLAR MD
NPI 1033403589
Surgery in Saint Louis, MO
About Dr. Kelly Jean Vallar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY JEAN VALLAR MD (NPI 1033403589) is an individual surgery provider in Saint Louis, Missouri, licensed in Missouri (2016023747) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Carbondale, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kelly Jean Vallar Md 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.
Medicare Billing Reassignments
6Medicare enrollment records show Kelly Vallar reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1528005642 (Missouri)
- 172 clinicians in this Medicare group
Carbondale, IL 62901
- Reassigned Medicare billing, Illinois enrollment
- 702 clinicians in this Medicare group
Oxford, MA 01540
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Watertown, MA 02472
- Reassigned Medicare billing, Massachusetts enrollment
- 1,103 clinicians in this Medicare group
Lawrence, MA 01841
- Reassigned Medicare billing, Massachusetts enrollment
- 305 clinicians in this Medicare group
Dover, NH 03820
- Reassigned Medicare billing, New Hampshire enrollment
- 559 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital Of Carbondale
Acute Care Hospitals · Carbondale, ILUmass Memorial Health - Harrington Hospital
Acute Care Hospitals · Southbridge, MAMilford Regional Medical Center
Acute Care Hospitals · Milford, MAUmass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAWentworth-Douglass Hospital
Acute Care Hospitals · Dover, NHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT LOUIS, MO 63106
SAINT LOUIS, MO 63106
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 Vallar's NPI number?
The NPI number for Kelly Vallar is 1033403589. It was assigned to this individual provider in the NPPES registry on June 1, 2011.
Where is Kelly Vallar located?
Kelly Vallar practices at 915 N Grand Blvd, Saint Louis, MO 63106. The listed phone number is (314) 652-4100.
What is Kelly Vallar's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Kelly Vallar enrolled in Medicare?
Yes. Kelly Vallar 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.
Which organizations bill Medicare for Kelly Vallar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Vallar reassigns Medicare benefits to 6 organizations: Washington University (Saint Louis, MO), Southern Illinois Medical Services, Nfp (Carbondale, IL), Umass Memorial Medical Group, Inc. (Oxford, MA), Steward Medical Group, Inc (Watertown, MA), Community Medical Associates, Inc. (Lawrence, MA) and 1 more organization, listed in the Medicare section above. 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 Vallar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Vallar accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health and 1 other insurer list Kelly Vallar 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 Vallar affiliated with any hospitals?
According to CMS data, Kelly Vallar is affiliated with Memorial Hospital Of Carbondale, Umass Memorial Health - Harrington Hospital, Milford Regional Medical Center, Umass Memorial Medical Center/University Campus and Wentworth-Douglass Hospital.
When was this NPI record last updated?
The NPPES record for Kelly Vallar was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Kelly Jean Vallar, MD · NPI 1033403589
Surgery physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since June 1, 2011.
## Identity
- **NPI:** 1033403589 (Entity type: Individual)
- **Enumerated:** June 1, 2011
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 2016023747 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 915 N GRAND BLVD, Saint Louis, MO 63106-1621
- **Phone:** (314) 652-4100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Washington University (NPI 1134169568, Saint Louis, MO); Southern Illinois Medical Services, Nfp (NPI 1770656837, Carbondale, IL); Umass Memorial Medical Group, Inc. (NPI 1982381018, Oxford, MA); Steward Medical Group, Inc (NPI 1629398219, Watertown, MA); Community Medical Associates, Inc. (NPI 1144544040, Lawrence, MA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri, Kansas City, School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** January 22, 2026
- **Other identifiers:** Medicaid 200029344 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1033403589) · Data from the CMS NPPES public registry.