DR. JUSTIN KELLEY D.O.
NPI 1205256187
Orthopaedic Surgery in Florence, SC
About Dr. Justin Kelley D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUSTIN KELLEY D.O. (NPI 1205256187) is an individual orthopaedic surgery provider in Florence, South Carolina, licensed in South Carolina (97318) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of Kansas City University Of Physicians And Surgeons (2014).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
Accepted 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
Dr. Justin Kelley D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Justin Kelley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, OH 43213
- Reassigned Medicare billing, Ohio enrollment
- 3,314 clinicians in this Medicare group
Sandusky, OH 44870
- Reassigned Medicare billing, Ohio enrollment
- 182 clinicians in this Medicare group
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 9
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Firelands Regional Medical Center
Acute Care Hospitals · Sandusky, OHBellevue Hospital
Acute Care Hospitals · Bellevue, OHMagruder Hospital
Critical Access Hospitals · Port Clinton, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
FLORENCE, SC 29505
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 Justin Kelley's NPI number?
The NPI number for Justin Kelley is 1205256187. It was assigned to this individual provider in the NPPES registry on April 18, 2014.
Where is Justin Kelley located?
Justin Kelley practices at 1580 Freedom Blvd Ste 100, Florence, SC 29505. The listed phone number is (843) 413-6835.
What is Justin Kelley's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Justin Kelley enrolled in Medicare?
Yes. Justin 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 organizations bill Medicare for Justin Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Kelley reassigns Medicare benefits to 2 organizations: Ohiohealth Corporation (Columbus, OH) and North Coast Professional Company, LLC (Sandusky, OH). 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 Justin Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Kelley accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Justin Kelley 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.
Is Justin Kelley affiliated with any hospitals?
According to CMS data, Justin Kelley is affiliated with Firelands Regional Medical Center, Bellevue Hospital and Magruder Hospital.
When was this NPI record last updated?
The NPPES record for Justin Kelley was last updated on September 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 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.
# Dr. Justin Kelley, D.O. · NPI 1205256187
Orthopaedic Surgery physician in Florence, South Carolina. Individual provider, active in the CMS NPPES registry since April 18, 2014.
## Identity
- **NPI:** 1205256187 (Entity type: Individual)
- **Enumerated:** April 18, 2014
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 97318 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1580 FREEDOM BLVD STE 100, Florence, SC 29505-6074
- **Phone:** (843) 413-6835 · **Fax:** (843) 674-6312
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ohiohealth Corporation (NPI 1265627301, Columbus, OH); North Coast Professional Company, LLC (NPI 1881648210, Sandusky, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Kansas City University Of Physicians And Surgeons, class of 2014
## Record status
- **NPPES last updated:** September 7, 2026
- **Other identifiers:** Medicaid 0381932 (OH); Other 34.014089 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1205256187) · Data from the CMS NPPES public registry.