DR. KAIDDEN KELLY DMSC, PA-C
NPI 1083124135
Physician Assistant in Kailua Kona, HI

Q: What is Kaidden Kelly's NPI number?

The NPI number for Kaidden Kelly is 1083124135. It was assigned to this individual provider in the NPPES registry on October 3, 2017.

Q: What is Kaidden Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaidden Kelly was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since October 03, 2017PECOS EnrolledAccepts Medicare Assignment

75-184 HUALALAI RD STE 302, KAILUA KONA, HI 96740(808) 329-0111(808) 365-5811 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2024, May 17, 2023, Oct 6, 2022 (3 updates tracked since 2022).

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About Dr. Kaidden Kelly Dmsc, Pa-c NPPES

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

DR. KAIDDEN KELLY DMSC, PA-C (NPI 1083124135) is an individual physician assistant in Kailua Kona, Hawaii, licensed in Hawaii (AMD-785) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1083124135

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameDR. KAIDDEN KELLYCredential: DMSC, PA-C

Location Address75-184 HUALALAI RD STE 302Kailua Kona, HI 96740-1719

Mailing Address75-184 Hualalai Rd Ste 302Kailua Kona, HI 96740-1719 · (808) 329-0111 · Fax (808) 365-5811

Phone(808) 329-0111

Fax(808) 365-5811

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 3, 2017

Last NPPES UpdateSeptember 30, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2024

✔ NPI 1083124135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in HI · AMD-785

Definition

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.

75-184 HUALALAI RD STE 302, Kailua Kona, HI 96740

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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. Kaidden Kelly Dmsc, Pa-c 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 ID1759648249

PECOS Enrollment IDI20171208002461

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 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.

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.

232 services68 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96740 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

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.

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Other Providers at the Same Location NPPES 6

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

WORKSTAR OCCUPATIONAL HEALTH SYSTEMS, INC.

Pain Medicine (Interventional Pain Medicine)