DR. KELLY TAY LOCKE MD
NPI 1376546002
Family Medicine in Aspen, CO

Q: What is Kelly Locke's NPI number?

The NPI number for Kelly Locke is 1376546002. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Q: What is Kelly Locke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Locke was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment

87.96/100

CMS Quality Rating

401 CASTLE CREEK RD, ASPEN, CO 81611(970) 279-4111 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2023, Oct 25, 2022, Oct 29, 2020 (3 updates tracked since 2020).

On this page

About Dr. Kelly Tay Locke Md NPPES

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

DR. KELLY TAY LOCKE MD (NPI 1376546002) is an individual family medicine provider in Aspen, Colorado, licensed in Colorado (38023) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1991).

NPPES Registry Identity

NPI1376546002

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KELLY TAY LOCKECredential: MD

Location Address401 CASTLE CREEK RDAspen, CO 81611-1159

Mailing Address401 Castle Creek RdAspen, CO 81611-1159 · (970) 279-4111 · Fax (970) 927-3915

Phone(970) 279-4111

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1991

Enumeration DateMay 27, 2005

Last NPPES UpdateOctober 18, 20233 updates tracked since enumeration

NPPES CertifiedOctober 18, 2023

✔ NPI 1376546002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CO · 38023✔ Licensed in AK · 210985

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.

401 CASTLE CREEK RD, Aspen, CO 81611

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Secondary Practice Locations 2

Location 11460 E Valley Rd Ste 103Basalt, CO 81621-8412 · Phone (970) 279-4111 · Fax (970) 927-3915

Location 23100 Tongass AveKetchikan, AK 99901-5746 · Phone (907) 228-8300 · Fax (907) 228-8440

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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 Tay Locke 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 ID5991778854

PECOS Enrollment IDI20231224000066

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 3

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.

36 services31 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.

13 services12 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81611 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

87.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

72.43

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

2 suppliers12 claims24 services$4.93 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers18 claims18 services$51.97 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

2 suppliers16 claims16 services$113.15 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.

ASPEN VALLEY HOSPITAL CLINICS, PLLC

Clinic/Center (Multi-Specialty)