KELLY EVANS D.O.
NPI 1124107693
Internal Medicine in Manchester, KY

Q: What is Kelly Evans's NPI number?

The NPI number for Kelly Evans is 1124107693. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Q: What is Kelly Evans's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Evans was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

85 HIGHWAY 80, MANCHESTER, KY 40962(606) 596-0410(606) 528-8272 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kelly Evans D.o. NPPES

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

KELLY EVANS D.O. (NPI 1124107693) is an individual internal medicine provider in Manchester, Kentucky, licensed in Kentucky (02584) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Manchester Memorial Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1995).

NPPES Registry Identity

NPI1124107693

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameKELLY EVANSCredential: D.O.

Location Address85 HIGHWAY 80Manchester, KY 40962-8801

Mailing Address1019 Cumberland Falls Hwy, Suite B201Corbin, KY 40701-2735 · (606) 526-9005 · Fax (606) 526-8606

Phone(606) 596-0410

Fax(606) 528-8272

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1995

Enumeration DateNovember 3, 2006

Last NPPES UpdateJanuary 17, 2019

✔ NPI 1124107693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · 02584

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

85 HIGHWAY 80, Manchester, KY 40962

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Other Identifiers 1

Medicaid64012206KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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 Evans D.o. 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 ID9830281880

PECOS Enrollment IDI20070822000548

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.

Hospital Affiliations CMS Care Compare 2

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

Manchester Memorial Hospital

Acute Care Hospitals · Manchester, KY

OwnershipVoluntary non-profit - Church

CMS Certification Number180043

Location210 Marie Langdon DriveManchester, KY 40962 · Clay County

Emergency services Birthing friendly

Mary Breckinridge Arh Hospital

Critical Access Hospitals · Hyden, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181316

Location130 Kate Ireland DriveHyden, KY 41749 · Leslie County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40962 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

95.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers11 claims19 services$6.61 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers15 claims23 services$21.30 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$6.60 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers17 claims17 services$46.87 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers15 claims23 services$119.39 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

KASSIDY MICHAELA CREECH LCSW

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