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DR. THOMAS F KELLY JR. M.D., P.A.
NPI 1073519104
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Sarasota, FL

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment
78.8/100
CMS Quality Rating
1540 S TAMIAMI TRL, SUITE 303, SARASOTA, FL 34239(941) 917-8791(941) 917-8793 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Thomas F Kelly Jr. M.d., P.a. NPPES

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

DR. THOMAS F KELLY JR. M.D., P.A. (NPI 1073519104) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Sarasota, Florida, licensed in Florida (ME34098) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (1968).

NPPES Registry Identity

NPI1073519104
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. THOMAS F KELLY JR.Credential: M.D., P.A.
Location Address1540 S TAMIAMI TRL, SUITE 303Sarasota, FL 34239-2930
Mailing AddressPo Box 863407Orlando, FL 32886-3407 · (941) 917-2600 · Fax (941) 917-7884
Phone(941) 917-8791
Fax(941) 917-8793
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1968
Enumeration DateJune 23, 2005
Last NPPES UpdateDecember 19, 2016
✔ NPI 1073519104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in FL · ME34098
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 0034098 (FL)
1540 S TAMIAMI TRL, Sarasota, FL 34239
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Other Names 1

Professional Name (2)Dr. Thomas F Kelly M.d., P.a.

Other Identifiers 5

Medicare PIN68149UFL
Medicare UPIND65709FL
Medicaid008376100FL
Medicaid258121300FL
Other68149FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.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. Thomas F Kelly Jr. M.d., P.a. 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 ID3577465509
PECOS Enrollment IDI20120418000592
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.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Smh Physician Services Inc
0.2 mi
Internal Medicine
1700 S TAMIAMI TRL, 1ST FLOOR FPG ADMINISTRATION
Sarasota, FL 34239
  • Reassigned Medicare billing, Florida enrollment
  • 956 clinicians in this Medicare group
NPI 1346295292 (941) 917-8720

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 2

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
105 services105 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34239 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

78.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.37
Promoting Interoperability99
Improvement Activities40
Cost50.81

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.

FLORIDA CARDIAC CONSULTANTS, INC
Internal Medicine (Cardiovascular Disease)
1540 S TAMIAMI TRL, SUITE 401
SARASOTA, FL 34239
Sarasota County (941) 917-0060
JONATHAN C FONG M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1540 S TAMIAMI TRL, SUITE 303
SARASOTA, FL 34239
Sarasota County (941) 917-8791
DR. JONATHAN DAVID HOFFBERGER DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1540 S TAMIAMI TRL, SUITE 303
SARASOTA, FL 34239
Sarasota County (941) 917-8791
STEPHANIE STINE LIVINGSTON P.A.
Physician Assistant (Surgical)
1540 S TAMIAMI TRL, SUITE303
SARASOTA, FL 34239
Sarasota County (941) 917-8791
JASON L. GURSKY APRN
Nurse Practitioner (Adult Health)
1540 S TAMIAMI TRL, SUITE 401
SARASOTA, FL 34239
Sarasota County (941) 917-0060
DR. JEFFREY E SELL M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1540 S TAMIAMI TRL, SUITE 303
SARASOTA, FL 34239
Sarasota County (941) 917-8791
ROBERT J. POHL PA-C
Physician Assistant (Medical)
1540 S TAMIAMI TRL, SUITE 401
SARASOTA, FL 34239
Sarasota County (941) 917-0060
SARASOTA CARDIAC AND THORACIC SURGERY PA
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1540 S TAMIAMI TRL, STE 301
SARASOTA, FL 34239
Sarasota County (941) 952-1913

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 Thomas Kelly's NPI number?

The NPI number for Thomas Kelly is 1073519104. It was assigned to this individual provider in the NPPES registry on June 23, 2005. The provider is also known as Dr. Thomas F Kelly M.D., P.A..

Where is Thomas Kelly located?

Thomas Kelly practices at 1540 S Tamiami Trl Suite 303, Sarasota, FL 34239. The listed phone number is (941) 917-8791.

What is Thomas Kelly's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Thomas Kelly enrolled in Medicare?

Yes. Thomas Kelly 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 organization bills Medicare for Thomas Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Kelly reassigns Medicare benefits to Smh Physician Services Inc (Sarasota, FL). The 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 Thomas Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Kelly accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Thomas Kelly 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 Thomas Kelly was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.