LAWRENCE J KELLY MD
NPI 1124014758
Orthopaedic Surgery in Surprise, AZ

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
87.81/100
CMS Quality Rating
12361 W BOLA DR, SUITE 100, SURPRISE, AZ 85378(623) 584-5626(623) 584-8998 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lawrence J Kelly Md NPPES

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

LAWRENCE J KELLY MD (NPI 1124014758) is an individual orthopaedic surgery provider in Surprise, Arizona, licensed in Arizona (27172) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Nevada School Of Medicine (1990).

NPPES Registry Identity

NPI1124014758
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameLAWRENCE J KELLYCredential: MD
Location Address12361 W BOLA DR, SUITE 100Surprise, AZ 85378-9021
Mailing Address12361 W Bola Dr, Suite 100Surprise, AZ 85378-9021 · (623) 584-5626 · Fax (623) 584-8998
Fax(623) 584-8998
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 1990
Enumeration DateSeptember 20, 2005
Last NPPES UpdateJune 6, 2016
NPI 1124014758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in AZ · 27172
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 35083 (AZ)
12361 W BOLA DR, Surprise, AZ 85378

Other Identifiers 11

Other1124014758AZ · Ahcccs
OtherP00188666AZ · Railroad Medicare
Other2Z1651AZ · Healthnet
Medicare NSC0321470001AZ
Medicare PINZWCLCJAZ
Medicaid514829AZ
Medicare PIN100683AZ
OtherP0836100AZ · Bcbs Out Of Area
Other2036792AZ · United Healthcare
Other5920416AZ · Aetna
Medicare UPING27850

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

Lawrence J Kelly 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 ID8729037403
PECOS Enrollment IDI20050120000211
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 17

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.

X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
281 services177 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
233 services140 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
226 services198 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
130 services130 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
113 services83 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
71 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85378 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

87.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40
Cost61.22

Other Providers at the Same Location NPPES 16

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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
12361 W BOLA DR, SUITE 100
SURPRISE, AZ 85378
Surgery (Vascular Surgery)
12361 W BOLA DR
SURPRISE, AZ 85378
Orthopaedic Surgery
12361 W BOLA DR, STE 100
SURPRISE, AZ 85378
Nurse Practitioner (Family)
12361 W BOLA DR, SUITE 109
SURPRISE, AZ 85378
Orthopaedic Surgery (Sports Medicine)
12361 W BOLA DR
SURPRISE, AZ 85378
Podiatrist (Foot & Ankle Surgery)
12361 W BOLA DR
SURPRISE, AZ 85378
Anesthesiology (Pain Medicine)
12361 W BOLA DR, SUITE 109
SURPRISE, AZ 85378
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
12361 W BOLA DR
SURPRISE, AZ 85378

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 Lawrence Kelly's NPI number?

The NPI number for Lawrence Kelly is 1124014758. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Lawrence Kelly located?

Lawrence Kelly practices at 12361 W Bola Dr Suite 100, Surprise, AZ 85378. The listed phone number is (623) 584-5626.

What is Lawrence Kelly's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Lawrence Kelly enrolled in Medicare?

Yes. Lawrence 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.

What insurance does Lawrence Kelly accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Lawrence 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 Lawrence Kelly was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.