KELLEY FORD SHIPPEY III MD
NPI 1245431105
Pediatrics - Sleep Medicine in Kalispell, MT

Q: What is Kelley Shippey's NPI number?

The NPI number for Kelley Shippey is 1245431105. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Q: What is Kelley Shippey's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sleep Medicine, with taxonomy code 2080S0012X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Shippey was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 May 29, 2007PECOS EnrolledAccepts Medicare Assignment

350 HERITAGE WAY STE 2100, KALISPELL, MT 59901(406) 257-8992(406) 257-8996 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 21, 2025, May 30, 2019, May 9, 2019 and 2 more (5 updates tracked since 2016).

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About Kelley Ford Shippey Iii Md NPPES

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

KELLEY FORD SHIPPEY III MD (NPI 1245431105) is an individual sleep medicine provider in Kalispell, Montana, licensed in Kentucky (60172) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of Eastern Virginia Medical School (2003).

NPPES Registry Identity

NPI1245431105

Entity TypeIndividualMale

Primary Taxonomy2080S0012X

Provider Legal NameKELLEY FORD SHIPPEY IIICredential: MD

Location Address350 HERITAGE WAY STE 2100Kalispell, MT 59901-3167

Mailing Address350 Heritage Way Ste 2100Kalispell, MT 59901-3167 · (406) 257-8992 · Fax (406) 257-8996

Phone(406) 257-8992

Fax(406) 257-8996

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 2003

Enumeration DateMay 29, 2007

Last NPPES UpdateMarch 21, 20255 updates tracked since enumeration

NPPES CertifiedMarch 21, 2025

✔ NPI 1245431105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0012X

Licenses✔ Licensed in KY · 60172✔ Licensed in SC · 35354✔ Licensed in MT · MED-PHYS-LIC-70337

Definition

A Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35354 (SC), MED-PHYS-LIC-70337 (MT)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License MED-PHYS-LIC-70337 (MT), 60172 (KY), 35354 (SC)

350 HERITAGE WAY STE 2100, Kalispell, MT 59901

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Other Identifiers 1

Medicaid353548SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, First Choice Next.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

Kelley Ford Shippey Iii Md 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 ID345302949

PECOS Enrollment IDI20130207000148, I20240517003466

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 7

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 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.

104 services95 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.

55 services49 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

53 services47 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

49 services49 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.

32 services32 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520083

Location700 South Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59901 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

$130.52 typical visit price

range $56.81 – $172.26

Typical copayment $32.63 (range $14.20 – $43.06)

Most-billed visit code 99204

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

9 suppliers48 claims48 services$35.74 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

6 suppliers18 claims18 services$89.83 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers18 claims27 services$31.49 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

6 suppliers43 claims85 services$17.00 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

6 suppliers20 claims66 services$13.79 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

10 suppliers40 claims40 services$55.19 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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