1. Home
  2. Directory
  3. Michigan
  4. Cadillac
  5. Podiatrist
  6. NPI Profile

DR. KELLI ICEMAN DPM
NPI 1386008787
Podiatrist in Cadillac, MI

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
86.54/100
CMS Quality Rating
8805 PINE RIDGE DR, CADILLAC, MI 49601(231) 779-3668 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2019, Sep 13, 2018 (2 updates tracked since 2018).

About Dr. Kelli Iceman Dpm NPPES

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

DR. KELLI ICEMAN DPM (NPI 1386008787) is an individual podiatrist in Cadillac, Michigan, licensed in Wisconsin (1137) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Northfield Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1386008787
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameDR. KELLI ICEMANCredential: DPM
Location Address8805 PINE RIDGE DRCadillac, MI 49601-7064
Mailing Address8805 Pine Ridge DrCadillac, MI 49601-7064 · (231) 779-3668
Phone(231) 779-3668
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 12, 2016
Last NPPES UpdateSeptember 24, 20192 updates tracked since enumeration
✔ NPI 1386008787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in WI · 1137
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
8805 PINE RIDGE DR, Cadillac, MI 49601
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. Kelli Iceman Dpm 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 ID7911294871
PECOS Enrollment IDI20240429001402
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 9

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 fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
208 services173 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.
116 services75 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.
69 services69 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
59 services34 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
46 services16 patients
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.
32 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Northfield Hospital

Acute Care Hospitals · Northfield, MN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240014
Location2000 North AvenueNorthfield, MN 55057 · Rice County
Emergency services Birthing friendly

Owatonna Hospital

Acute Care Hospitals · Owatonna, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240069
Location2250 26th Street NorthwestOwatonna, MN 55060 · Steele County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49601 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

86.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.08
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

JOHN A RIALSON DPM
Podiatrist (Foot & Ankle Surgery)
8805 PINE RIDGE DR
CADILLAC, MI 49601
Wexford County (231) 779-3668
DR. ARTHUR JEYNES D.P.M.
Podiatrist (Foot & Ankle Surgery)
8805 PINE RIDGE DR
CADILLAC, MI 49601
Wexford County (231) 779-3668
HANNAH POMEROY DOBRZELEWSKI DPM
Podiatrist (Foot & Ankle Surgery)
8805 PINE RIDGE DR
CADILLAC, MI 49601
Wexford County (231) 779-3668
ABIGAIL KATHLEEN MILLER PA-C
Physician Assistant
8805 PINE RIDGE DR
CADILLAC, MI 49601
Wexford County (231) 779-3668

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 Kelli Iceman's NPI number?

The NPI number for Kelli Iceman is 1386008787. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Kelli Iceman located?

Kelli Iceman practices at 8805 Pine Ridge Dr, Cadillac, MI 49601. The listed phone number is (231) 779-3668.

What is Kelli Iceman's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Kelli Iceman enrolled in Medicare?

Yes. Kelli Iceman 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 Kelli Iceman accept?

Health plans from Medica list Kelli Iceman 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 Kelli Iceman affiliated with any hospitals?

According to CMS data, Kelli Iceman is affiliated with Northfield Hospital and Owatonna Hospital.

When was this NPI record last updated?

The NPPES record for Kelli Iceman was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.