DR. KELLY JEAN VALLAR MD
NPI 1033403589
Surgery in Saint Louis, MO

Active since June 01, 2011PECOS EnrolledAccepts Medicare Assignment
915 N GRAND BLVD, SAINT LOUIS, MO 63106(314) 652-4100 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2026, Jun 4, 2025, Feb 10, 2025 and 15 more (18 updates tracked since 2017).

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

NPI1033403589
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. KELLY JEAN VALLARCredential: MD
Location Address915 N GRAND BLVDSaint Louis, MO 63106-1621
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-5298 · Fax (888) 824-2176
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2011
Enumeration DateJune 1, 2011
Last NPPES UpdateJanuary 22, 202618 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
NPI 1033403589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in MO · 2016023747 Licensed in IL · 036144868
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License 2016023747 (MO)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 2016023747 (MO), 288139 (MA), 036144868 (IL)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 036144868 (IL)
915 N GRAND BLVD, Saint Louis, MO 63106

Secondary Practice Locations 3

Location 1317 S 14th StHerrin, IL 62948-3671 · Phone (618) 942-2002 · Fax (618) 988-9780
Location 255 Lake Ave NWorcester, MA 01655-0002 · Phone (774) 443-7057 · Fax (508) 856-4224
Location 3305 W Jackson St Ste 206Carbondale, IL 62901-1474 · Phone (618) 457-3006 · Fax (618) 457-3007

Other Identifiers 1

Medicaid200029344MO

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 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.

PECOS PAC ID648572008
PECOS Enrollment IDI20200421000354, I20211113000063, I20230601001704
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 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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
162 services159 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
97 services95 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
43 services43 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.
27 services27 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
22 services22 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
14 services14 patients

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, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Physician 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.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Optometrist
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Social Worker
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Internal Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Nurse Practitioner (Primary Care)
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Registered Nurse
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Emergency Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Dentist (General Practice)
915 N GRAND BLVD, DENTAL CLINIC
SAINT LOUIS, MO 63106
Nurse Anesthetist, Certified Registered
915 N GRAND BLVD
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.

What insurance does Kelly Vallar accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan 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, Lawrence General Hospital, Umass Memorial Health - Harrington Hospital, 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 6 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.