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STEPHEN J KELTY MD
NPI 1306809819
Surgery in Louisville, KY

Active since April 07, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3 AUDUBON PLAZA DR, SUITE 530, LOUISVILLE, KY 40217(502) 637-3311(502) 637-3168 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2021, May 28, 2019, Mar 25, 2016 (3 updates tracked since 2016).

About Stephen J Kelty Md NPPES

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

STEPHEN J KELTY MD (NPI 1306809819) is an individual surgery provider in Louisville, Kentucky, licensed in Kentucky (27932) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Louisville School Of Medicine (1986).

NPPES Registry Identity

NPI1306809819
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSTEPHEN J KELTYCredential: MD
Location Address3 AUDUBON PLAZA DR, SUITE 530Louisville, KY 40217-1300
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 637-3311
Fax(502) 637-3168
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1986
Enumeration DateApril 7, 2006
Last NPPES UpdateJanuary 19, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
✔ NPI 1306809819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · 27932
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3 AUDUBON PLAZA DR, Louisville, KY 40217
Open in Google Maps ↗

Other Identifiers 1

Medicaid64279326KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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

Stephen J Kelty 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 ID9931186939
PECOS Enrollment IDI20051017000697
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 8

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
56 services56 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
48 services48 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.
33 services29 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.
27 services27 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.
26 services26 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
4 suppliers11 claims433 services$0.19 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.

JEANNE M THOMPSON M.D.
Internal Medicine
3 AUDUBON PLAZA DR, LL2
LOUISVILLE, KY 40217
Jefferson County (502) 636-8095
NEUROSCIENCE ASSOCIATES, PSC
Psychiatry & Neurology (Neurology)
3 AUDUBON PLAZA DR, SUITE 110
LOUISVILLE, KY 40217
Jefferson County (502) 634-3433
CARDIOVASCULAR ASSOCIATES, PSC
Internal Medicine (Cardiovascular Disease)
3 AUDUBON PLAZA DR, SUITE 350
LOUISVILLE, KY 40217
Jefferson County (502) 891-8300
BRYAN JESSOP ECKERLE
Psychiatry & Neurology (Neurology)
3 AUDUBON PLAZA DR, LL2
LOUISVILLE, KY 40217
Jefferson County (502) 636-4940
DR. NORMAN D RADTKE M.D.
Ophthalmology
3 AUDUBON PLAZA DR, SUITE 240
LOUISVILLE, KY 40217
Jefferson County (502) 636-2823
GARY F BLOEMER M.D.
Orthopaedic Surgery
3 AUDUBON PLAZA DR, SUITE 430
LOUISVILLE, KY 40217
Jefferson County (502) 588-9490
NORTON HOSPITALS INC
Clinic/Center (Rehabilitation)
3 AUDUBON PLAZA DR, STE L12
LOUISVILLE, KY 40217
Jefferson County (502) 629-8000
ALICE HOANG JOHNSON MD
Internal Medicine
3 AUDUBON PLAZA DR, LL-2
LOUISVILLE, KY 40217
Jefferson County (502) 636-8095

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 Stephen Kelty's NPI number?

The NPI number for Stephen Kelty is 1306809819. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Stephen Kelty located?

Stephen Kelty practices at 3 Audubon Plaza Dr Suite 530, Louisville, KY 40217. The listed phone number is (502) 637-3311.

What is Stephen Kelty's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Stephen Kelty enrolled in Medicare?

Yes. Stephen Kelty 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 Stephen Kelty accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Stephen Kelty 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 Stephen Kelty affiliated with any hospitals?

According to CMS data, Stephen Kelty is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Stephen Kelty was last updated on January 19, 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.