1. Home
  2. Directory
  3. Georgia
  4. Rome
  5. Family Medicine
  6. NPI Profile

DR. KELLY VLASS CULBERTSON M.D.
NPI 1265694491
Family Medicine in Rome, GA

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
98.1/100
CMS Quality Rating
304 SHORTER AVE NW, SUITE 201, ROME, GA 30165(706) 509-3330 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2023, Jun 3, 2021 (2 updates tracked since 2021).

About Dr. Kelly Vlass Culbertson M.d. NPPES

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

DR. KELLY VLASS CULBERTSON M.D. (NPI 1265694491) is an individual family medicine provider in Rome, Georgia, licensed in Georgia (068717) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2008).

NPPES Registry Identity

NPI1265694491
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KELLY VLASS CULBERTSONCredential: M.D.
Location Address304 SHORTER AVE NW, SUITE 201Rome, GA 30165-4290
Mailing Address420 E 2nd Ave, Suite 103Rome, GA 30161-3209 · (706) 509-3000
Phone(706) 509-3330
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2008
Enumeration DateJune 30, 2008
Last NPPES UpdateMarch 10, 20232 updates tracked since enumeration
NPPES CertifiedMarch 10, 2023
✔ NPI 1265694491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 068717✔ Licensed in SC · LL30788✔ Licensed in SC · 30788
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.

304 SHORTER AVE NW, Rome, GA 30165
Open in Google Maps ↗

Other Identifiers 4

Medicaid003128294BGA
Medicaid307885SC
Medicaid5919319NC
OtherP00980725SC · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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. Kelly Vlass Culbertson 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 ID2567631518
PECOS Enrollment IDI20121106000113
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 6

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.
42 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services17 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.
28 services24 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.
25 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services11 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110054
Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30165 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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.

98.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers19 claims29 services$6.10 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$12.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$54.04 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 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.

DR. ERICA MONIQUE CALL MD
Psychiatry & Neurology (Psychiatry)
304 SHORTER AVE NW
ROME, GA 30165
Floyd County (706) 232-5650
LINDA H. HOFFMANN N.P.
Nurse Practitioner
304 SHORTER AVE NW, SUITE 102
ROME, GA 30165
Floyd County (706) 233-9349
MELVIN H. THOMAS M.D.
Family Medicine
304 SHORTER AVE NW, SUITE 201
ROME, GA 30165
Floyd County (706) 509-3300
JOHN J DESMOND IV MD
Family Medicine
304 SHORTER AVE NW, SUITE 201
ROME, GA 30165
Floyd County (706) 509-3300
DR. WILLIAM ERICK ANDERSON MD
Family Medicine
304 SHORTER AVE NW, STE 201
ROME, GA 30165
Floyd County (706) 509-3300
DR. FRANK R DON DIEGO MD
Family Medicine
304 SHORTER AVE NW, STE 201
ROME, GA 30165
Floyd County (706) 509-3300
CATHERINE MICHELLE STRICKLAND M.D.
Family Medicine
304 SHORTER AVE NW, SUITE 103
ROME, GA 30165
Floyd County (706) 509-3040
MR. HARRY JACOB MILLS II MED, ATC, LAT
Specialist/Technologist (Athletic Trainer)
304 SHORTER AVE NW, SUITE 101
ROME, GA 30165
Floyd County (706) 509-3400

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 Culbertson's NPI number?

The NPI number for Kelly Culbertson is 1265694491. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Kelly Culbertson located?

Kelly Culbertson practices at 304 Shorter Ave NW Suite 201, Rome, GA 30165. The listed phone number is (706) 509-3330.

What is Kelly Culbertson's specialty?

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

Is Kelly Culbertson enrolled in Medicare?

Yes. Kelly Culbertson 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.

What insurance does Kelly Culbertson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Kelly Culbertson 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 Kelly Culbertson affiliated with any hospitals?

According to CMS data, Kelly Culbertson is affiliated with Atrium Health Floyd Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Culbertson was last updated on March 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.