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KELLY LEE MCKERAHAN D.O.
NPI 1184705790
Family Medicine in Murrieta, CA

Active since October 18, 2006PECOS Enrolled
25095 JEFFERSON AVE STE 202, MURRIETA, CA 92562(951) 696-9566(951) 696-9536 Get Directions Write a Review

NPPES record last updated: November 13, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelly Lee Mckerahan D.o. NPPES

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

KELLY LEE MCKERAHAN D.O. (NPI 1184705790) is an individual family medicine provider in Murrieta, California, licensed in California (20A6780) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio University, College Of Osteopathic Medicine (1992).

NPPES Registry Identity

NPI1184705790
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKELLY LEE MCKERAHANCredential: D.O.
Location Address25095 JEFFERSON AVE STE 202Murrieta, CA 92562-9107
Mailing Address25095 Jefferson Ave, Suite 202Murrieta, CA 92562-9113 · (951) 696-9566 · Fax (951) 696-9536
Phone(951) 696-9566
Fax(951) 696-9536
Sole ProprietorYes
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1992
Enumeration DateOctober 18, 2006
Last NPPES UpdateNovember 13, 2012
✔ NPI 1184705790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A6780
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
25095 JEFFERSON AVE STE 202, Murrieta, CA 92562
Open in Google Maps ↗

Other Identifiers 2

OtherGQ215ZPtan
Medicare UPINF65737CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Lee Mckerahan D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557305158
PECOS Enrollment IDI20050614001461
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

3

Medicare enrollment records show Kelly Mckerahan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kelly L Mckerahan D O A Professional Medical Corporation
Same address
Primary Care
25095 JEFFERSON AVE STE 202
Murrieta, CA 92562
  • Reassigned Medicare billing, California enrollment
NPI 1508110503 (951) 696-9566
Rancho Family Medical Group, Inc.
4.5 mi
Family Medicine
28780 SINGLE OAK DR, STE 160
Temecula, CA 92590
  • Reassigned Medicare billing, California enrollment
  • 117 clinicians in this Medicare group
NPI 1598791600 (951) 676-4193
United Medical Doctors
4.7 mi
Gastroenterology
28078 BAXTER RD STE 530
Murrieta, CA 92563
  • Reassigned Medicare billing, California enrollment
  • 240 clinicians in this Medicare group
NPI 1770559981 (951) 566-5229

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.
50 services32 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.
19 services19 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
17 services14 patients
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.
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92562 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Other Providers at the Same Location NPPES

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

KELLY L MCKERAHAN D O A PROFESSIONAL MEDICAL CORPORATION
Clinic/Center (Primary Care)
25095 JEFFERSON AVE STE 202
MURRIETA, CA 92562
Riverside County (951) 696-9566

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 Kelly Mckerahan's NPI number?

The NPI number for Kelly Mckerahan is 1184705790. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Kelly Mckerahan located?

Kelly Mckerahan practices at 25095 Jefferson Ave Ste 202, Murrieta, CA 92562. The listed phone number is (951) 696-9566.

What is Kelly Mckerahan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Mckerahan enrolled in Medicare?

Yes. Kelly Mckerahan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Mckerahan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mckerahan reassigns Medicare benefits to 3 organizations: Kelly L Mckerahan D O A Professional Medical Corporation (Murrieta, CA), Rancho Family Medical Group, Inc. (Temecula, CA) and United Medical Doctors (Murrieta, CA). 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 Kelly Mckerahan'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 Kelly Mckerahan was last updated on November 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.