DR. KELLEY DEBORAH HODGKISS-HARLOW M.D.
NPI 1164684056
Surgery - Vascular Surgery in San Diego, CA

Active since July 01, 2008PECOS EnrolledAccepts Medicare Assignment
4647 ZION AVE, SAN DIEGO, CA 92120(619) 528-5512 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kelley Deborah Hodgkiss-harlow M.d. NPPES

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

DR. KELLEY DEBORAH HODGKISS-HARLOW M.D. (NPI 1164684056) is an individual vascular surgery provider in San Diego, California, licensed in California (A93677) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2004).

NPPES Registry Identity

NPI1164684056
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameDR. KELLEY DEBORAH HODGKISS-HARLOWCredential: M.D.
Location Address4647 ZION AVESan Diego, CA 92120-2507
Mailing Address4647 Zion AveSan Diego, CA 92120-2507 · (619) 528-5512
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2004
Enumeration DateJuly 1, 2008
Last NPPES UpdateDecember 3, 2021
NPI 1164684056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CA · A93677
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

4647 ZION AVE, San Diego, CA 92120

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. Kelley Deborah Hodgkiss-harlow 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 ID3274704234
PECOS Enrollment IDI20110922000592
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
22 services22 patients
Leg revascularization (restoring blood flow) NAN01
Leg revascularization is a procedure aimed at restoring proper blood flow to your legs. It's often needed when blood vessels in your legs are blocked or narrowed. The process may involve surgery or less invasive methods to remove or bypass blockages, helping to alleviate pain and prevent serious complications.
0 services25 patients
Varicose vein removal NAN08
Varicose vein removal is a procedure to eliminate enlarged and twisted veins, commonly found in legs. It's performed when these veins cause discomfort or skin problems. The procedure may involve laser treatment, sclerotherapy (injecting a solution to close the veins), or surgery to remove the veins. It's generally safe and helps to alleviate symptoms.
0 services28 patients
Pacemaker insertion or repair NAN10
Pacemaker insertion or repair is a procedure to help regulate your heartbeat. A small device, called a pacemaker, is implanted under the skin near your heart. This device sends electrical signals to prompt your heart to beat at a normal rate. In a repair procedure, the pacemaker may be adjusted, replaced, or the wires connecting it to your heart may be fixed.
0 services1 patient

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92120 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Nurse Anesthetist, Certified Registered
4647 ZION AVE
SAN DIEGO, CA 92120
Nurse Anesthetist, Certified Registered
4647 ZION AVE
SAN DIEGO, CA 92120
Emergency Medicine
4647 ZION AVE
SAN DIEGO, CA 92120
Genetic Counselor, MS
4647 ZION AVE
SAN DIEGO, CA 92120
Pharmacist
4647 ZION AVE
SAN DIEGO, CA 92120
General Acute Care Hospital
4647 ZION AVE
SAN DIEGO, CA 92120
Pharmacist
4647 ZION AVE
SAN DIEGO, CA 92120
Pharmacist
4647 ZION AVE
SAN DIEGO, CA 92120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164684056, enumerated as an "individual" on July 01, 2008.

The provider is located at 4647 ZION AVE SAN DIEGO, CA 92120 and the phone number is (619) 528-5512.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.