THOMAS MICHAEL KELLEY JR.
NPI 1154736437
Surgery in Fort Bragg, NC
About Thomas Michael Kelley Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS MICHAEL KELLEY JR. (NPI 1154736437) is an individual surgery provider in Fort Bragg, North Carolina, licensed in North Carolina (267056) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses 2
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
Thomas Michael Kelley Jr. 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
3Medicare enrollment records show Thomas Kelley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pinehurst, NC 28374
- Reassigned Medicare billing, North Carolina enrollment
- 97 clinicians in this Medicare group
Wagram, NC 28396
- Reassigned Medicare billing, North Carolina enrollment
- 476 clinicians in this Medicare group
Darlington, SC 29532
- Reassigned Medicare billing, South Carolina enrollment
- 878 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28310 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT BRAGG, NC 28310
FORT BRAGG, NC 28310
FORT BRAGG, NC 28310
FORT BRAGG, NC 28310
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 Thomas Kelley's NPI number?
The NPI number for Thomas Kelley is 1154736437. It was assigned to this individual provider in the NPPES registry on June 25, 2014.
Where is Thomas Kelley located?
Thomas Kelley practices at 2817 Rock Merritt Ave, Fort Bragg, NC 28310. The listed phone number is (910) 907-7624.
What is Thomas Kelley's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Thomas Kelley enrolled in Medicare?
Yes. Thomas Kelley 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 Thomas Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Kelley reassigns Medicare benefits to 3 organizations: Pinehurst Surgical Clinic PA (Pinehurst, NC), Scotland Memorial Hospital, Inc (Wagram, NC) and Mcleod Physician Associates II (Darlington, SC). 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 Thomas Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Kelley accept?
Health plans from AmeriHealth Caritas Next, BlueCross BlueShield of South Carolina and InStil Health list Thomas Kelley 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 Thomas Kelley was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Thomas Michael Kelley Jr. · NPI 1154736437
Surgery physician in Fort Bragg, North Carolina. Individual provider, active in the CMS NPPES registry since June 25, 2014.
## Identity
- **NPI:** 1154736437 (Entity type: Individual)
- **Enumerated:** June 25, 2014
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 267056 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2817 ROCK MERRITT AVE, Fort Bragg, NC 28310-7324
- **Phone:** (910) 907-7624
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Pinehurst Surgical Clinic PA (NPI 1962434324, Pinehurst, NC); Scotland Memorial Hospital, Inc (NPI 1891789970, Wagram, NC); Mcleod Physician Associates II (NPI 1629189766, Darlington, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** March 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154736437) · Data from the CMS NPPES public registry.