SEAN KELLEY M.D.
NPI 1194144170
Radiology - Diagnostic Radiology in Jackson, CA

Active since April 07, 2014PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
200 MISSION BLVD, JACKSON, CA 95642(209) 223-7500 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2021, Jul 1, 2019, Jun 21, 2019 (3 updates tracked since 2019).

About Sean Kelley M.d. NPPES

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

SEAN KELLEY M.D. (NPI 1194144170) is an individual diagnostic radiology provider in Jackson, California, licensed in California (A141999) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1194144170
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSEAN KELLEYCredential: M.D.
Location Address200 MISSION BLVDJackson, CA 95642-2564
Mailing Address406 S Lexington DrFolsom, CA 95630-6879
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 7, 2014
Last NPPES UpdateMay 27, 20213 updates tracked since enumeration
NPPES CertifiedMay 16, 2021
NPI 1194144170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · A141999
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
200 MISSION BLVD, Jackson, CA 95642

Secondary Practice Locations 2

Location 150 N Medical Drive Slc UtSalt Lake City, UT 84132-0001 · Phone (801) 581-7606
Location 2513 Parnassus Ave Ste S-261San Francisco, CA 94143-2205 · Phone (415) 476-1575

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 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 ID6406180108
PECOS Enrollment IDI20190701000768
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 51

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
374 services305 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
156 services155 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
151 services151 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
146 services146 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
120 services114 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
117 services115 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95642 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

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

Physician Assistant
200 MISSION BLVD
JACKSON, CA 95642
Radiology (Diagnostic Radiology)
200 MISSION BLVD
JACKSON, CA 95642
Dietitian, Registered
200 MISSION BLVD
JACKSON, CA 95642
Internal Medicine
200 MISSION BLVD
JACKSON, CA 95642
Internal Medicine
200 MISSION BLVD
JACKSON, CA 95642
Anesthesiology
200 MISSION BLVD
JACKSON, CA 95642
Hospitalist
200 MISSION BLVD
JACKSON, CA 95642
Radiology (Diagnostic Radiology)
200 MISSION BLVD
JACKSON, CA 95642

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 Kelley's NPI number?

The NPI number for Sean Kelley is 1194144170. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Where is Sean Kelley located?

Sean Kelley practices at 200 Mission Blvd, Jackson, CA 95642. The listed phone number is (209) 223-7500.

What is Sean Kelley's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sean Kelley enrolled in Medicare?

Yes. Sean 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.

When was this NPI record last updated?

The NPPES record for Sean Kelley was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.