1. Home
  2. Directory
  3. Wisconsin
  4. New Berlin
  5. Orthopaedic Surgery
  6. NPI Profile

JOSEPH P KELLY DO
NPI 1164917779
Orthopaedic Surgery in New Berlin, WI

Active since June 26, 2018PECOS EnrolledAccepts Medicare Assignment
12555 W NATIONAL AVE STE 100, NEW BERLIN, WI 53151(262) 395-4141 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2023, Jun 19, 2023, Jun 26, 2018 (3 updates tracked since 2018).

About Joseph P Kelly Do NPPES

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

JOSEPH P KELLY DO (NPI 1164917779) is an individual orthopaedic surgery provider in New Berlin, Wisconsin, licensed in Wisconsin (81454-21) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164917779
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOSEPH P KELLYCredential: DO
Location Address12555 W NATIONAL AVE STE 100New Berlin, WI 53151-4061
Mailing Address12555 W National Ave Ste 100New Berlin, WI 53151-4061 · (262) 395-4141 · Fax (262) 395-4189
Phone(262) 395-4141
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2018
Enumeration DateJune 26, 2018
Last NPPES UpdateJanuary 14, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1164917779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in WI · 81454-21✔ Licensed in ID · O-1746
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.

12555 W NATIONAL AVE STE 100, New Berlin, WI 53151
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18907 S Howell Ave Ste 800Oak Creek, WI 53154-4461 · Phone (262) 395-4141
Location 217000 W North Ave Ste 104WBrookfield, WI 53005-4423 · Phone (262) 395-4141

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Moda Health Plan, Inc., Network Health and more.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

Joseph P Kelly Do 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 ID5092173773
PECOS Enrollment IDI20240730003239
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 9

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services27 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
22 services22 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
20 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
16 services15 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Orthopaedic Hospital Of Wisconsin

Acute Care Hospitals · Glendale, WI
OwnershipPhysician
CMS Certification Number520194
Location475 W River Woods PkwyGlendale, WI 53212 · Milwaukee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53151 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 2

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

ASPEN ORTHOPEDIC AND REHABILATION SPECALIST
Orthopaedic Surgery
12555 W NATIONAL AVE STE 100
NEW BERLIN, WI 53151
Waukesha County (262) 395-4141
ASPEN ORTHOPAEDIC AND REHABILITATION SPECIALISTS S C
Orthopaedic Surgery
12555 W NATIONAL AVE STE 100
NEW BERLIN, WI 53151
Waukesha County (262) 395-4141

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 Joseph Kelly's NPI number?

The NPI number for Joseph Kelly is 1164917779. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Where is Joseph Kelly located?

Joseph Kelly practices at 12555 W National Ave Ste 100, New Berlin, WI 53151. The listed phone number is (262) 395-4141.

What is Joseph Kelly's specialty?

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

Is Joseph Kelly enrolled in Medicare?

Yes. Joseph 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.

What insurance does Joseph Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield, Moda Health Plan, Inc., Network Health and UnitedHealthcare list Joseph 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 Joseph Kelly affiliated with any hospitals?

According to CMS data, Joseph Kelly is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension SE Wisconsin Hospital and Orthopaedic Hospital Of Wisconsin.

When was this NPI record last updated?

The NPPES record for Joseph Kelly was last updated on January 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.