Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY SHEA KELLY-BUCKLEY
NPI 1326742859
Family Medicine in Rochester, NY

Q: What is Mary Shea Kelly-buckley's NPI number?

The NPI number for Mary Shea Kelly-buckley is 1326742859. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Q: What is Mary Shea Kelly-buckley's specialty?

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

Active since March 28, 2023PECOS Enrolled

777 CLINTON AVE S, ROCHESTER, NY 14620(585) 279-4800 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2026, Mar 28, 2023 (2 updates tracked since 2023).

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About Mary Shea Kelly-buckley NPPES

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

MARY SHEA KELLY-BUCKLEY (NPI 1326742859) is an individual family medicine provider in Rochester, New York, licensed in New York (345885) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326742859

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARY SHEA KELLY-BUCKLEY

Location Address777 CLINTON AVE SRochester, NY 14620-1448

Mailing Address777 Clinton Ave SRochester, NY 14620-1448 · (585) 279-4800

Phone(585) 279-4800

Sole ProprietorNo

Enumeration DateMarch 28, 2023

Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1326742859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 345885

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.

777 CLINTON AVE S, Rochester, NY 14620

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Shea Kelly-buckley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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.

SOPHIA EMMANUELLE HANNA DO

Student in an Organized Health Care Education/Training Program