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JOHN JOSEPH KELLY IV MD
NPI 1174150163
Orthopaedic Surgery in Orlando, FL

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
10155 DOWDEN RD STE 301, ORLANDO, FL 32832(321) 843-5851(407) 569-1701 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 26, 2026, Mar 27, 2020 (2 updates tracked since 2020).

About John Joseph Kelly Iv Md NPPES

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

JOHN JOSEPH KELLY IV MD (NPI 1174150163) is an individual orthopaedic surgery provider in Orlando, Florida, licensed in Florida (ME181916) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1174150163
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOHN JOSEPH KELLY IVCredential: MD
Location Address10155 DOWDEN RD STE 301Orlando, FL 32832-5227
Mailing Address10155 Dowden Rd Ste 301Orlando, FL 32832-5227 · (321) 843-5851 · Fax (407) 569-1701
Phone(321) 843-5851
Fax(407) 569-1701
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 27, 2020
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1174150163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in FL · ME181916
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.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 79276 (MN)
10155 DOWDEN RD STE 301, Orlando, FL 32832
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1200 1st St SWRochester, MN 55905-0002 · Phone (507) 284-2511
Location 21222 S. Orange Avenue, 5th FL, MP#43Orlando, FL 32806 · Phone (321) 841-1764

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

John Joseph Kelly Iv 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.

PECOS PAC ID42718793
PECOS Enrollment IDI20250812001265
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

2

Medicare enrollment records show John Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orlando Health Medical Group Inc
11 mi
Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 clinicians in this Medicare group
NPI 1669429577 (321) 841-2452
Mayo Clinic
1,242 mi
Infectious Disease
200 1ST ST SW
Rochester, MN 55905
  • Reassigned Medicare billing, Minnesota enrollment
  • 6,534 clinicians in this Medicare group
NPI 1114343860 (507) 284-2511

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 32832 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 John Kelly's NPI number?

The NPI number for John Kelly is 1174150163. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is John Kelly located?

John Kelly practices at 10155 Dowden Rd Ste 301, Orlando, FL 32832. The listed phone number is (321) 843-5851.

What is John Kelly's specialty?

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

Is John Kelly enrolled in Medicare?

Yes. John 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 John Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Kelly reassigns Medicare benefits to 2 organizations: Orlando Health Medical Group Inc (Orlando, FL) and Mayo Clinic (Rochester, MN). 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 John Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Kelly accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 6 other insurers list John 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.

When was this NPI record last updated?

The NPPES record for John Kelly was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.