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DR. FREDERICK KELLEY M.D.
NPI 1174687560
Obstetrics & Gynecology - Obstetrics in Santa Paula, CA

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment
87.18/100
CMS Quality Rating
845 N 10TH ST STE 3, SANTA PAULA, CA 93060(805) 525-0215(805) 525-8031 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 13, 2023, Aug 21, 2021 (2 updates tracked since 2021).

About Dr. Frederick Kelley M.d. NPPES

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

DR. FREDERICK KELLEY M.D. (NPI 1174687560) is an individual obstetrics provider in Santa Paula, California, licensed in California (G71281) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1989).

NPPES Registry Identity

NPI1174687560
Entity TypeIndividualMale
Primary Taxonomy207VX0000X
Provider Legal NameDR. FREDERICK KELLEYCredential: M.D.
Location Address845 N 10TH ST STE 3Santa Paula, CA 93060-1348
Mailing Address800 S Victoria Ave # L4640Ventura, CA 93009-3099 · (805) 525-0215 · Fax (805) 525-8031
Phone(805) 525-0215
Fax(805) 525-8031
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1989
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 13, 20232 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1174687560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in CA · G71281
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
845 N 10TH ST STE 3, Santa Paula, CA 93060
Open in Google Maps ↗

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

Dr. Frederick Kelley 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 ID446331946
PECOS Enrollment IDI20080122000431
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 Reassignment

Medicare enrollment records show Frederick Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Ventura
Same address
Federally Qualified Health Center (FQHC)
845 N 10TH ST STE 3
Santa Paula, CA 93060
  • Reassigned Medicare billing, California enrollment
  • 710 clinicians in this Medicare group
NPI 1548401409 (805) 525-0215

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 93060 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
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.09
Promoting Interoperability100
Improvement Activities40
Cost56.53

Other Providers at the Same Location NPPES 4

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

JOSEFINA GARCIA ARRIGONI FNP
Nurse Practitioner (Family)
845 N 10TH ST STE 3
SANTA PAULA, CA 93060
Ventura County (805) 933-6896
COUNTY OF VENTURA
Clinic/Center (Federally Qualified Health Center (FQHC))
845 N 10TH ST STE 3
SANTA PAULA, CA 93060
Ventura County (805) 525-0215
DANA MICHELLE CHAVOLLA NP
Nurse Practitioner (Family)
845 N 10TH ST STE 3
SANTA PAULA, CA 93060
Ventura County (805) 525-0215
DIANA RUMBO
Midwife
845 N 10TH ST STE 3
SANTA PAULA, CA 93060
Ventura County (805) 525-0215

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 Frederick Kelley's NPI number?

The NPI number for Frederick Kelley is 1174687560. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Frederick Kelley located?

Frederick Kelley practices at 845 N 10th St Ste 3, Santa Paula, CA 93060. The listed phone number is (805) 525-0215.

What is Frederick Kelley's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Frederick Kelley enrolled in Medicare?

Yes. Frederick 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 organization bills Medicare for Frederick Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Frederick Kelley reassigns Medicare benefits to County Of Ventura (Santa Paula, CA). The 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 Frederick Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Frederick Kelley was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.