MR. RUSSELL AARON KELLY PA-C
NPI 1043316532
Physician Assistant in West Springfield, MA
Quality Rating: 94.38 out of 100 score
NPI Status: Active since September 15, 2006
Contact Information
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
Phone: (413) 592-1980
- Individual
- Male
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About RUSSELL KELLY
This page provides the complete NPI Profile along with additional information for Russell Kelly, a primary care provider established in West Springfield, Massachusetts with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1043316532 assigned on September 2006. The practitioner's primary taxonomy code is 363A00000X with license number 1762 (MA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1043316532
- Provider Name
- MR. RUSSELL AARON KELLY PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 103 MYRON ST SUITE A WEST SPRINGFIELD, MA 01089
- Location Phone
- (413) 592-1980
- Mailing Address
- 21 MAPLEWOOD RD LYNNFIELD, MA 01940
- Mailing Phone
- (617) 947-3258
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-15-2006
- Last Update Date
- 03-14-2013
- Code Navigator
A primary care provider (PCP) like Russell Kelly sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 1762
- License State
- MA
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0009706 | OTHER (01) | MA | MEDICARE PTAN |
Medicare Participation & PECOS Enrollment Status
Russell Kelly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up nursing facility visit per day, typically 25 minutes
Initial nursing facility visit per day, typically 45 minutes
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
This service was performed 111 times for 39 patientsAn initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
This service was performed 27 times for 27 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01089 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.7
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.67
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73.22
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $18.3
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.38, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
-
Final Score: 94.38 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 82.03
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
-
Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 80.89
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 80.89
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Reviews for MR. RUSSELL AARON KELLY PA-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 3 | 1 | 6 | 5 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 6 | 1 | 12 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 6 + 1 + 1 + 2 + 5 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1043316532 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DIANE M MURPHY NP
Nurse Practitioner
103 MYRON ST
WEST SPRINGFIELD, MA
ZIP 01089
ANN VERA M.ED.
Counselor
(Mental Health)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
DEBORAH A. ALLEN MED INTERN
Counselor
(Mental Health)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
JAMES R. GOODWIN III M.A.
Counselor
(Mental Health)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
CAROL NICHOLS LICSW, PHD
Social Worker
(Clinical)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
ALLAN CHALMERS
Counselor
(Mental Health)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
REBECCA C. LOVE RNNP
Nurse Practitioner
(Adult Health)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
BETH A. MULLEK LICSW
Social Worker
(Clinical)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
MELISSA BROWN M.ED.
Counselor
(Mental Health)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
DONNA M. JOYCE-BAIRD LCSW
Social Worker
(Clinical)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
SAMARA SAYKIN MSW
Social Worker
(Clinical)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
WALTER A. MITCHELL PSY.D.
Psychologist
(Clinical)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
NICOLE COVALLI MSW INTERN
Social Worker
(Clinical)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
MELISSA ALDRICH MSW INTERN
Social Worker
(Clinical)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
EDNA M. ALVARADO MSW INTERN
Social Worker
(Clinical)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
KAREN S. RICHARDSON MSW INTERN
Social Worker
(Clinical)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
MARA M VERONESI M.S.W., LICSW
Social Worker
(Clinical)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
PAULA CAMPBELL LICSW
Social Worker
(Clinical)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
ERIN ETHIER
Counselor
(Mental Health)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
ALLISON GLENNEY MED CAGS INTERN
Counselor
(Mental Health)
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA
ZIP 01089
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043316532, enumerated as an "individual" on September 15, 2006.
The provider is located at 103 MYRON ST SUITE A WEST SPRINGFIELD, MA 01089 and the phone number is (413) 592-1980.
Physician Assistant with taxonomy code 363A00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.
