PATRICK KELLY MD
NPI 1134655855
Emergency Medicine in Springfield, OR
About Patrick Kelly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICK KELLY MD (NPI 1134655855) is an individual emergency medicine provider in Springfield, Oregon, licensed in Oregon (MD210185) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Legacy Meridian Park Medical Center, and maintains a secondary practice location in Lebanon.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Patrick 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.
Medicare Billing Reassignments
6Medicare enrollment records show Patrick Kelly reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eugene, OR 97401
- Reassigned Medicare billing, Oregon enrollment
- 58 clinicians in this Medicare group
Cottage Grove, OR 97424
- Reassigned Medicare billing, Oregon enrollment
- 113 clinicians in this Medicare group
Florence, OR 97439
- Reassigned Medicare billing, Oregon enrollment
- 117 clinicians in this Medicare group
Newberg, OR 97132
- Reassigned Medicare billing, Oregon enrollment
- 198 clinicians in this Medicare group
Bandon, OR 97411
- Reassigned Medicare billing, Oregon enrollment
- 46 clinicians in this Medicare group
Portland, OR 97204
- Reassigned Medicare billing, Oregon enrollment
- 163 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Legacy Meridian Park Medical Center
Acute Care Hospitals · Tualatin, ORSacred Heart Medical Center - Riverbend
Acute Care Hospitals · Springfield, ORPeacehealth Cottage Grove Community Medical Center
Critical Access Hospitals · Cottage Grove, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97477 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SPRINGFIELD, OR 97477
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 Patrick Kelly's NPI number?
The NPI number for Patrick Kelly is 1134655855. It was assigned to this individual provider in the NPPES registry on May 2, 2017.
Where is Patrick Kelly located?
Patrick Kelly practices at 3333 Riverbend Dr, Springfield, OR 97477. The listed phone number is (541) 222-7300.
What is Patrick Kelly's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Patrick Kelly enrolled in Medicare?
Yes. Patrick 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 organizations bill Medicare for Patrick Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Kelly reassigns Medicare benefits to 6 organizations: Eugene Emergency Physicians PC (Eugene, OR), Peacehealth (Cottage Grove, OR), Peacehealth (Florence, OR), Providence Health & Services - Oregon (Newberg, OR), Southern Coos Health District (Bandon, OR) and 1 more organization, listed in the Medicare section above. Each 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 Patrick Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Patrick Kelly accept?
Health plans from Moda Health Plan, Inc. list Patrick 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.
Is Patrick Kelly affiliated with any hospitals?
According to CMS data, Patrick Kelly is affiliated with Legacy Meridian Park Medical Center, Sacred Heart Medical Center - Riverbend and Peacehealth Cottage Grove Community Medical Center.
When was this NPI record last updated?
The NPPES record for Patrick Kelly was last updated on December 20, 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.
# Patrick Kelly, MD · NPI 1134655855
Emergency Medicine physician in Springfield, Oregon. Individual provider, active in the CMS NPPES registry since May 2, 2017.
## Identity
- **NPI:** 1134655855 (Entity type: Individual)
- **Enumerated:** May 2, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD210185 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3333 RIVERBEND DR, Springfield, OR 97477-8800
- **Phone:** (541) 222-7300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Eugene Emergency Physicians PC (NPI 1831133677, Eugene, OR); Peacehealth (NPI 1902892391, Cottage Grove, OR); Peacehealth (NPI 1578552402, Florence, OR); Providence Health & Services - Oregon (NPI 1174074868, Newberg, OR); Southern Coos Health District (NPI 1588684484, Bandon, OR); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** December 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1134655855) · Data from the CMS NPPES public registry.