DR. JUSTIN KELLEY D.O.
NPI 1205256187
Orthopaedic Surgery in Sandusky, OH

Q: 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.

Q: What is Justin Kelley's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Kelley was last updated on August 21, 2020. 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.

Active since April 18, 2014PECOS EnrolledAccepts Medicare Assignment

87.25/100

CMS Quality Rating

1401 BONE CREEK DR, SANDUSKY, OH 44870(419) 625-4900(419) 627-9768 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

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 Sandusky, Ohio, licensed in Ohio (34.014089) 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

NPI1205256187

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. JUSTIN KELLEYCredential: D.O.

Location Address1401 BONE CREEK DRSandusky, OH 44870-7267

Mailing Address628 Spivey Camp RdKinston, AL 36453-7030 · (334) 399-9555

Phone(419) 625-4900

Fax(419) 627-9768

Sole ProprietorYes

Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 2014

Enumeration DateApril 18, 2014

Last NPPES UpdateAugust 21, 2020

NPPES CertifiedAugust 21, 2020

✔ NPI 1205256187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in OH · 34.014089

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 34.014089 (OH)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1401 BONE CREEK DR, Sandusky, OH 44870

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Other Identifiers 2

Medicaid0381932OH

Other34.014089OH · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

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

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.

PECOS PAC ID7416258728

PECOS Enrollment IDI20200107000778

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 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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

692 services115 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.

192 services135 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

150 services108 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.

99 services69 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

64 services64 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 patients

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, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360025

Location1111 Hayes AvenueSandusky, OH 44870 · Erie County

Emergency services Birthing friendly

Bellevue Hospital

Acute Care Hospitals · Bellevue, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360107

Location1400 West Main StreetBellevue, OH 44811 · Sandusky County

Birthing friendly

Magruder Hospital

Critical Access Hospitals · Port Clinton, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361314

Location615 Fulton StPort Clinton, OH 43452 · Ottawa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

87.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.83

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 18

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

MR. NICHOLAS D REIMER DPT

Physical Therapist