DR. ROY BRADLEY KELLUM JR. M.D.
NPI 1124228754
Orthopaedic Surgery in Flowood, MS

Active since July 22, 2007PECOS EnrolledAccepts Medicare Assignment
88.57/100
CMS Quality Rating
104 BURNEY DR, FLOWOOD, MS 39232(601) 987-8200(601) 987-8211 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 16, 2019, Sep 8, 2019, Feb 22, 2016 (3 updates tracked since 2016).

About Dr. Roy Bradley Kellum Jr. M.d. NPPES

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

DR. ROY BRADLEY KELLUM JR. M.D. (NPI 1124228754) is an individual orthopaedic surgery provider in Flowood, Mississippi, licensed in Mississippi (22081) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1124228754
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ROY BRADLEY KELLUM JR.Credential: M.D.
Location Address104 BURNEY DRFlowood, MS 39232-6621
Mailing AddressPo Box 30594Charlotte, NC 28230-0594 · (601) 987-8200 · Fax (601) 987-8211
Fax(601) 987-8211
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2007
Enumeration DateJuly 22, 2007
Last NPPES UpdateSeptember 16, 20193 updates tracked since enumeration
NPI 1124228754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MS · 22081
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.

104 BURNEY DR, Flowood, MS 39232

Secondary Practice Location 1

Location 1106 Highland Way Ste 102Madison, MS 39110-6933 · Phone (601) 987-8200

Other Identifiers 1

Medicaid00753273MS

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

Dr. Roy Bradley Kellum Jr. M.d. 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 ID6204082381
PECOS Enrollment IDI20130829000737
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 34

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
889 services554 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
841 services537 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
614 services155 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
412 services280 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
250 services100 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
236 services236 patients

Hospital Affiliations CMS Care Compare 3

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

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Merit Health Women's Hospital

Acute Care Hospitals · Flowood, MS
OwnershipProprietary
CMS Certification Number250136
Location1026 River Oaks DriveFlowood, MS 39232 · Rankin County
Birthing friendly

Merit Health River Oaks

Acute Care Hospitals · Flowood, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250138
Location1030 River Oaks DriveFlowood, MS 39232 · Rankin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39232 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

88.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.59
Promoting Interoperability92
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L4360
DME-Orthotic Devices · category DF003N
1 supplier27 claims27 services$219.65 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers19 claims19 services$217.78 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 20

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

Clinic/Center (Ambulatory Surgical)
104 BURNEY DR
FLOWOOD, MS 39232
Orthopaedic Surgery
104 BURNEY DR
FLOWOOD, MS 39232
Orthopaedic Surgery
104 BURNEY DR
FLOWOOD, MS 39232
Orthopaedic Surgery
104 BURNEY DR
FLOWOOD, MS 39232
Nurse Practitioner (Family)
104 BURNEY DR
FLOWOOD, MS 39232
Orthopaedic Surgery
104 BURNEY DR
FLOWOOD, MS 39232
Orthopaedic Surgery
104 BURNEY DR
FLOWOOD, MS 39232
Orthopaedic Surgery
104 BURNEY DR
FLOWOOD, MS 39232

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 Roy Kellum's NPI number?

The NPI number for Roy Kellum is 1124228754. It was assigned to this individual provider in the NPPES registry on July 22, 2007.

Where is Roy Kellum located?

Roy Kellum practices at 104 Burney Dr, Flowood, MS 39232. The listed phone number is (601) 987-8200.

What is Roy Kellum's specialty?

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

Is Roy Kellum enrolled in Medicare?

Yes. Roy Kellum 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 Roy Kellum accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Roy Kellum 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.

Is Roy Kellum affiliated with any hospitals?

According to CMS data, Roy Kellum is affiliated with St Dominic-Jackson Memorial Hospital, Merit Health Women's Hospital and Merit Health River Oaks.

When was this NPI record last updated?

The NPPES record for Roy Kellum was last updated on September 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.