DR. KELLY ANN FAIR M.D.
NPI 1144547415
Surgery in Salem, OR

Q: What is Kelly Fair's NPI number?

The NPI number for Kelly Fair is 1144547415. It was assigned to this individual provider in the NPPES registry on April 27, 2010.

Q: What is Kelly Fair's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Fair was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 April 27, 2010PECOS EnrolledAccepts Medicare Assignment

890 OAK ST SE, SALEM, OR 97301(503) 561-2448 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2025, Dec 3, 2024, Nov 27, 2017 (3 updates tracked since 2017).

On this page

About Dr. Kelly Ann Fair M.d. NPPES

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

DR. KELLY ANN FAIR M.D. (NPI 1144547415) is an individual surgery provider in Salem, Oregon, licensed in Oregon (MD176652) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144547415

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. KELLY ANN FAIRCredential: M.D.

Location Address890 OAK ST SESalem, OR 97301-3905

Mailing AddressPo Box 14001Salem, OR 97309-5014

Phone(503) 561-2448

Sole ProprietorNo

Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2010

Enumeration DateApril 27, 2010

Last NPPES UpdateApril 30, 20253 updates tracked since enumeration

NPPES CertifiedApril 30, 2025

✔ NPI 1144547415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OR · MD176652

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License MD176652 (OR)

890 OAK ST SE, Salem, OR 97301

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Secondary Practice Locations 2

Location 1300 N Graham St Ste 125Portland, OR 97227-1683 · Phone (503) 413-3714

Location 22200 NE Neff Rd Ste 302Bend, OR 97701-4279 · Phone (541) 706-6915 · Fax (541) 706-6733

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.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

Dr. Kelly Ann Fair 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 ID3173768918

PECOS Enrollment IDI20171107002265

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.

Medicare Billing Reassignments

Medicare enrollment records show Kelly Fair reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Salem Health

Same address

General Acute Care Hospital

890 OAK ST SE
Salem, OR 97301

Reassigned Medicare billing, Oregon enrollment
625 clinicians in this Medicare group

NPI 1265431829 (503) 561-5200

Legacy Clinics LLC

44 mi

Clinic/Center

1130 NW 22ND AVE STE 220
Portland, OR 97210

Reassigned Medicare billing, Oregon enrollment
1,248 clinicians in this Medicare group

NPI 1902827272 (503) 413-2901

St. Charles Health System, Inc.

106 mi

Family Medicine

2500 NE NEFF RD
Bend, OR 97701

Reassigned Medicare billing, Oregon enrollment
348 clinicians in this Medicare group

NPI 1023331303 (541) 382-4321

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 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.

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.

21 services21 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380007

Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County

Emergency services Birthing friendly

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380089

Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97301 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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.

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.

JORDAN L BARNHART M.D.

Emergency Medicine

890 OAK ST SE, BUILDING 'A'
SALEM, OR 97301

Marion County (503) 814-1278

DR. QUINCY ENYIOMA JOHN MD

Family Medicine (Sports Medicine)

890 OAK ST SE
SALEM, OR 97301

Marion County (503) 814-1879

JACOB NICHOLSON N.P.

Nurse Practitioner (Family)

890 OAK ST SE
SALEM, OR 97301

Marion County (503) 814-2154

DR. CHANDRA MANNYAM MD

Psychiatry & Neurology (Neurology)

890 OAK ST SE
SALEM, OR 97301

Marion County (503) 814-7554

YUNFEI ZENG

Registered Nurse

890 OAK ST SE
SALEM, OR 97301

Marion County (503) 561-5200

JOSH BREHM RN

Registered Nurse (Emergency)

890 OAK ST SE
SALEM, OR 97301

Marion County (503) 779-3530

JULIE MARIE HAYNES

Student in an Organized Health Care Education/Training Program

890 OAK ST SE
SALEM, OR 97301

Marion County (503) 561-5200

TREVOR GRANT PHILLIPS M.D.

Emergency Medicine

890 OAK ST SE, SALEM EMERGENCY PHYSICIANS C/O ED - SALEM HOSPITAL 'A'
SALEM, OR 97301

Marion County (503) 561-5634

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 Kelly Fair's NPI number?

The NPI number for Kelly Fair is 1144547415. It was assigned to this individual provider in the NPPES registry on April 27, 2010.

Where is Kelly Fair located?

Kelly Fair practices at 890 Oak St SE, Salem, OR 97301. The listed phone number is (503) 561-2448.

What is Kelly Fair's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kelly Fair enrolled in Medicare?

Yes. Kelly Fair 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 Kelly Fair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Fair reassigns Medicare benefits to 3 organizations: Salem Health (Salem, OR), Legacy Clinics LLC (Portland, OR) and St. Charles Health System, Inc. (Bend, OR). 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 Kelly Fair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Fair accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Kelly Fair 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 Kelly Fair affiliated with any hospitals?

According to CMS data, Kelly Fair is affiliated with Legacy Emanuel Medical Center and Legacy Meridian Park Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Fair was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.