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PAUL E KELLY M.D.
NPI 1346242831
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Riverhead, NY

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
91.28/100
CMS Quality Rating
400 OLD COUNTRY ROAD, SUITE 16, RIVERHEAD, NY 11901(631) 574-3419(631) 727-8110 Get Directions Write a Review

NPPES record last updated: April 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2019, Mar 28, 2016 (2 updates tracked since 2016).

About Paul E Kelly M.d. NPPES

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

PAUL E KELLY M.D. (NPI 1346242831) is an individual otolaryngology/facial plastic surgery provider in Riverhead, New York, licensed in New York (230368) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Peconic Bay Medical Center, and is a graduate of Tulane University School Of Medicine (1993).

NPPES Registry Identity

NPI1346242831
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NamePAUL E KELLYCredential: M.D.
Location Address400 OLD COUNTRY ROAD, SUITE 16Riverhead, NY 11901-2145
Mailing Address660 White Plains Rd Fl 4Tarrytown, NY 10591-5139 · (914) 984-2546
Phone(631) 574-3419
Fax(631) 727-8110
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1993
Enumeration DateAugust 15, 2005
Last NPPES UpdateApril 2, 20192 updates tracked since enumeration
✔ NPI 1346242831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in NY · 230368
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
400 OLD COUNTRY ROAD, Riverhead, NY 11901
Open in Google Maps ↗

Other Identifiers 2

OtherP0108756NY · Railroad Medicare Pin
Medicaid02646179NY

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

Paul E Kelly 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 ID8325941131
PECOS Enrollment IDI20040804001957
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 11

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 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.
1,110 services768 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
437 services343 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.
327 services327 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
271 services240 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
175 services158 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
167 services166 patients

Hospital Affiliations CMS Care Compare 2

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

Peconic Bay Medical Center

Acute Care Hospitals · Riverhead, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330107
Location1 Heros WayRiverhead, NY 11901 · Suffolk County
Emergency services Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

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.

91.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.16
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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
6 suppliers16 claims16 services$33.53 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers11 claims61 services$11.12 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
8 suppliers29 claims29 services$42.26 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers17 claims17 services$14.34 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers15 claims15 services$7.07 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers30 claims164 services$1.65 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 5

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

DR. DARREN HIRSCH M.D.
Allergy & Immunology (Allergy)
400 OLD COUNTRY ROAD, SUITE 16
RIVERHEAD, NY 11901
Suffolk County (631) 574-3419
DR. ERIC THOMAS SCARBROUGH M.D.
Otolaryngology
400 OLD COUNTRY ROAD, SUITE 16
RIVERHEAD, NY 11901
Suffolk County (631) 574-3419
PAUL JOSEPH DAVEY MD
Otolaryngology
400 OLD COUNTRY ROAD, SUITE 16
RIVERHEAD, NY 11901
Suffolk County (631) 574-3419
DR. KEVIN BRAAT M.D.
Otolaryngology
400 OLD COUNTRY ROAD, SUITE 16
RIVERHEAD, NY 11901
Suffolk County (631) 574-3419
DR. BRITTNEY LYNN KELLY AU.D.
Audiologist
400 OLD COUNTRY ROAD, UNIT 16
RIVERHEAD, NY 11901
Suffolk County (631) 727-8050

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 Paul Kelly's NPI number?

The NPI number for Paul Kelly is 1346242831. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Paul Kelly located?

Paul Kelly practices at 400 Old Country Road Suite 16, Riverhead, NY 11901. The listed phone number is (631) 574-3419.

What is Paul Kelly's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Paul Kelly enrolled in Medicare?

Yes. Paul Kelly 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.

Is Paul Kelly affiliated with any hospitals?

According to CMS data, Paul Kelly is affiliated with Peconic Bay Medical Center and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Paul Kelly was last updated on April 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.