SEAN R KELLY DO
NPI 1174592760
Internal Medicine in Washington, PA

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
151 N FRANKLIN ST, WASHINGTON, PA 15301(724) 222-7240 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2023, Jun 8, 2023, Feb 21, 2023 and 1 more (4 updates tracked since 2015).

About Sean R Kelly Do NPPES

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

SEAN R KELLY DO (NPI 1174592760) is an individual internal medicine provider in Washington, Pennsylvania, licensed in Pennsylvania (OS012378) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Washington Hospital, The, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2001).

NPPES Registry Identity

NPI1174592760
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSEAN R KELLYCredential: DO
Location Address151 N FRANKLIN STWashington, PA 15301-4378
Mailing Address701 Technology Dr Ste 150Canonsburg, PA 15317-9531 · (412) 531-2902 · Fax (412) 531-2948
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2001
Enumeration DateMarch 16, 2006
Last NPPES UpdateJuly 6, 20234 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
NPI 1174592760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · OS012378
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

151 N FRANKLIN ST, Washington, PA 15301

Other Identifiers 2

Medicaid1012265060001PA
Other1688548PA · Highmark Bs/ Khpw

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

Sean R 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 ID7113974650
PECOS Enrollment IDI20050406000632
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 33

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
353 services168 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
230 services63 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
219 services144 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
183 services183 patients
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.
168 services114 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
152 services131 patients

Hospital Affiliations CMS Care Compare 3

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

Washington Hospital, The

Acute Care Hospitals · Washington, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390042
Location155 Wilson AvenueWashington, PA 15301 · Washington County
Emergency services Birthing friendly

Washington Health System Greene

Acute Care Hospitals · Waynesburg, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390150
Location350 Bonar AvenueWaynesburg, PA 15370 · Greene County
Emergency services

Canonsburg General Hospital

Acute Care Hospitals · Canonsburg, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390160
Location100 Medical BoulevardCanonsburg, PA 15317 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15301 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers20 claims31 services$4.83 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers20 claims20 services$30.55 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers15 claims90 services$16.62 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers26 claims26 services$48.59 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers16 claims16 services$15.07 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers30 claims172 services$1.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Family Medicine
151 N FRANKLIN ST
WASHINGTON, PA 15301
Family Medicine
151 N FRANKLIN ST
WASHINGTON, PA 15301
Family Medicine
151 N FRANKLIN ST
WASHINGTON, PA 15301
Family Medicine
151 N FRANKLIN ST
WASHINGTON, PA 15301
Nurse Practitioner (Family)
151 N FRANKLIN ST
WASHINGTON, PA 15301
Family Medicine
151 N FRANKLIN ST
WASHINGTON, PA 15301
Nurse Practitioner (Adult Health)
151 N FRANKLIN ST
WASHINGTON, PA 15301
Nurse Practitioner (Family)
151 N FRANKLIN ST
WASHINGTON, PA 15301

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 Sean Kelly's NPI number?

The NPI number for Sean Kelly is 1174592760. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Sean Kelly located?

Sean Kelly practices at 151 N Franklin St, Washington, PA 15301. The listed phone number is (724) 222-7240.

What is Sean Kelly's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sean Kelly enrolled in Medicare?

Yes. Sean 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.

Is Sean Kelly affiliated with any hospitals?

According to CMS data, Sean Kelly is affiliated with Washington Hospital, The, Washington Health System Greene and Canonsburg General Hospital.

When was this NPI record last updated?

The NPPES record for Sean Kelly was last updated on July 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.