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KELLY JESTER GELDMACHER M.D.
NPI 1043327554
Emergency Medicine in Maryville, IL

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6800 STATE ROUTE 162, MARYVILLE, IL 62062(618) 391-5711 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Jester Geldmacher M.d. NPPES

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

KELLY JESTER GELDMACHER M.D. (NPI 1043327554) is an individual emergency medicine provider in Maryville, Illinois, licensed in Illinois (036112201) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Hshs Holy Family Hospital Inc, and is a graduate of University Of Oklahoma College Of Medicine (2002).

NPPES Registry Identity

NPI1043327554
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKELLY JESTER GELDMACHERCredential: M.D.
Location Address6800 STATE ROUTE 162Maryville, IL 62062-8500
Mailing Address4075 Copper Ridge DrTraverse City, MI 49684-7059 · (800) 253-5358 · Fax (231) 932-4134
Phone(618) 391-5711
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2002
Enumeration DateAugust 23, 2006
Last NPPES UpdateNovember 18, 2009
✔ NPI 1043327554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036112201
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
6800 STATE ROUTE 162, Maryville, IL 62062
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Other Identifiers 4

Medicare PINK45768IL
Medicare UPINI46794IL
Medicaid036112201-4IL
Medicare PINIL1682022IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Kelly Jester Geldmacher 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 ID6709807050
PECOS Enrollment IDI20051214000321
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
139 services137 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.
72 services70 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
43 services42 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.
41 services41 patients

Hospital Affiliations CMS Care Compare 5

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

Hshs Holy Family Hospital Inc

Acute Care Hospitals · Greenville, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140137
Location200 Health Care DrGreenville, IL 62246 · Bond County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

St Joseph's Hospital

Critical Access Hospitals · Highland, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141336
Location12866 Troxler AvenueHighland, IL 62249 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62062 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.69

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.

MRS. AMANDA MARIE REILSON RD, LDN
Dietitian, Registered
6800 STATE ROUTE 162
MARYVILLE, IL 62062
Madison County (618) 391-5528
MARY VAUGHN PT
Physical Therapist
6800 STATE ROUTE 162
MARYVILLE, IL 62062
Madison County (618) 288-5711
DR. JONATHAN SEHY M.D., PH.D.
Radiology (Diagnostic Radiology)
6800 STATE ROUTE 162, ANDERSON HOSPITAL, DEPT. OF RADIOLOGY
MARYVILLE, IL 62062
Madison County (314) 359-3166
JESSICA MARIE SOENS RN
Registered Nurse
6800 STATE ROUTE 162
MARYVILLE, IL 62062
Madison County (618) 391-6705
DR. CHRISTOPHER FARRAR M.D.
Hospitalist
6800 STATE ROUTE 162
MARYVILLE, IL 62062
Madison County (618) 288-4095
DR. CHRISTOPHER ROBERT WANGARD M.D.
Pediatrics
6800 STATE ROUTE 162
MARYVILLE, IL 62062
Madison County (618) 288-5711
UPTOWN EMERGENCY PHYSICIANS LLP
Hospitalist
6800 STATE ROUTE 162
MARYVILLE, IL 62062
Madison County (618) 288-5711
THOMAS E HILL MD
Radiology (Diagnostic Radiology)
6800 STATE ROUTE 162, ANDERSON HOSPITAL DEPT OF RADIOLOGY
MARYVILLE, IL 62062
Madison County (618) 288-5711

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 Geldmacher's NPI number?

The NPI number for Kelly Geldmacher is 1043327554. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Kelly Geldmacher located?

Kelly Geldmacher practices at 6800 State Route 162, Maryville, IL 62062. The listed phone number is (618) 391-5711.

What is Kelly Geldmacher's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kelly Geldmacher enrolled in Medicare?

Yes. Kelly Geldmacher 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 Geldmacher accept?

Health plans from Molina Healthcare list Kelly Geldmacher 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 Geldmacher affiliated with any hospitals?

According to CMS data, Kelly Geldmacher is affiliated with Hshs Holy Family Hospital Inc, St Josephs Hospital, St Marys Hospital, Hshs St Elizabeth's Hospital and St Joseph's Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Geldmacher was last updated on November 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.