MICHAEL TODD MCKELVEY MD
NPI 1063477008
Dermatology in Gahanna, OH

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
96.6/100
CMS Quality Rating
925 N HAMILTON RD, SUITE 100, GAHANNA, OH 43230(614) 473-9519(614) 626-7774 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2024, Dec 14, 2022 (2 updates tracked since 2022).

About Michael Todd Mckelvey Md NPPES

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

MICHAEL TODD MCKELVEY MD (NPI 1063477008) is an individual dermatology provider in Gahanna, Ohio, licensed in Ohio (35087411) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2002).

NPPES Registry Identity

NPI1063477008
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMICHAEL TODD MCKELVEYCredential: MD
Location Address925 N HAMILTON RD, SUITE 100Gahanna, OH 43230-8708
Mailing Address925 N Hamilton Rd, Suite 100Gahanna, OH 43230-8708 · (614) 473-9519 · Fax (614) 473-9543
Fax(614) 626-7774
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2002
Enumeration DateApril 20, 2006
Last NPPES UpdateNovember 8, 20242 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
NPI 1063477008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in OH · 35087411
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

925 N HAMILTON RD, Gahanna, OH 43230

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

Michael Todd Mckelvey 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 ID2567469794
PECOS Enrollment IDI20061101000482
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 30

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.

Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg J7345
Aminolevulinic acid hcl is a topical gel used to treat certain skin conditions. It works by making affected skin cells more sensitive to light, which is then used to destroy these cells. The gel is applied by a healthcare professional.
6,400 services22 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,722 services270 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
677 services500 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
488 services375 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
304 services257 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
196 services174 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43230 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

96.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.01
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%1,406 patients5/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%207 patients
Melanoma: Coordination of Care
100%21 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 90% · 1,105 patients
Patients screened: 95% · 1,105 patients
7%69 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 80% · 940 patients
Patients screened: 99% · 940 patients
0%175 patients
Provide Patients Electronic Access to Their Health Information
93%4,340 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%319 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
925 N HAMILTON RD, SUITE 100
GAHANNA, OH 43230
Clinic/Center (Dental)
925 N HAMILTON RD, SUITE 200
GAHANNA, OH 43230
Physician Assistant (Medical)
925 N HAMILTON RD
GAHANNA, OH 43230

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 Michael Mckelvey's NPI number?

The NPI number for Michael Mckelvey is 1063477008. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Michael Mckelvey located?

Michael Mckelvey practices at 925 N Hamilton Rd Suite 100, Gahanna, OH 43230. The listed phone number is (614) 473-9519.

What is Michael Mckelvey's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Michael Mckelvey enrolled in Medicare?

Yes. Michael Mckelvey 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 Michael Mckelvey accept?

Health plans from MedMutual and Oscar Health Insurance list Michael Mckelvey 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.

When was this NPI record last updated?

The NPPES record for Michael Mckelvey was last updated on November 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.