MATTHEW KELLEY M.D.
NPI 1417376476
Surgery in Newport, VT

Q: What is Matthew Kelley's NPI number?

The NPI number for Matthew Kelley is 1417376476. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Q: What is Matthew Kelley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Kelley was last updated on July 7, 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.

Active since April 07, 2014PECOS EnrolledAccepts Medicare Assignment

90.05/100

CMS Quality Rating

41 MEDICAL VILLAGE DR, NEWPORT, VT 05855(802) 334-3500 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2021, May 14, 2020 (2 updates tracked since 2020).

On this page

About Matthew Kelley M.d. NPPES

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

MATTHEW KELLEY M.D. (NPI 1417376476) is an individual surgery provider in Newport, Vermont, licensed in Maryland (D87596) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1417376476

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMATTHEW KELLEYCredential: M.D.

Location Address41 MEDICAL VILLAGE DRNewport, VT 05855-9835

Mailing Address10807 Falls Rd Unit 87Brooklandville, MD 21022-7504 · Fax (410) 261-8085

Phone(802) 334-3500

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateApril 7, 2014

Last NPPES UpdateJuly 7, 20212 updates tracked since enumeration

NPPES CertifiedJuly 7, 2021

✔ NPI 1417376476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MD · D87596

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.

41 MEDICAL VILLAGE DR, Newport, VT 05855

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Secondary Practice Location 1

Location 1201 E University Pkwy, Dept of SurgeryBaltimore, MD 21218-2829 · Phone (410) 554-2782 · Fax (410) 261-8085

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Kelley 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 ID2769801653

PECOS Enrollment IDI20200925001381

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.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Country Hospital & Health Center Inc

Same address

Surgery

41 MEDICAL VILLAGE DRIVE
Newport, VT 05855

Reassigned Medicare billing, Vermont enrollment
Also billed through NPI 1144251059 (Vermont)
4 clinicians in this Medicare group

NPI 1679551238 (802) 334-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 20

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.

167 services144 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

134 services133 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.

114 services74 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.

105 services105 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.

103 services103 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

77 services76 patients

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.

72 services70 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

48 services44 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.

38 services38 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.

37 services37 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

37 services23 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

32 services32 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

25 services25 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

24 services23 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

21 services12 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

21 services19 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

18 services17 patients

Diagnostic exam of lower portion of large bowel using a flexible endoscope 45330

This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.

16 services16 patients

Injection of agent into vein to assess blood flow of skin graft or flap 15860

This procedure involves injecting a special substance into your vein to evaluate the blood flow in a skin graft or flap. The substance helps to highlight the blood vessels under imaging, providing a clear picture of how well the graft or flap is receiving blood supply.

14 services13 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300003

Location1 Medical Center DriveLebanon, NH 03756 · Grafton County

Emergency services Birthing friendly

North Country Hospital And Health Center

Critical Access Hospitals · Newport, VT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number471304

Location189 Prouty DriveNewport, VT 05855 · Orleans County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05855 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

$85.89 typical visit price

range $55.80 – $168.48

Typical copayment $21.47 (range $13.95 – $42.12)

Most-billed visit code 99203

Established Patient

$69.56 typical visit price

range $18.08 – $137.84

Typical copayment $17.39 (range $4.52 – $34.46)

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.

90.05/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Cost

50.17

Other Providers at the Same Location NPPES 10

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

TAMSIN MELODIE DURAND M.D.

Surgery

41 MEDICAL VILLAGE DR
NEWPORT, VT 05855

Orleans County (802) 334-3500

DR. ROBERT A TREMBLEY MD

Internal Medicine

41 MEDICAL VILLAGE DR
NEWPORT, VT 05855

Orleans County (802) 334-3504

DR. FRANK LEONARD PROVATO MD

Internal Medicine

41 MEDICAL VILLAGE DR, COMMUNITY MEDICAL ASSOCIATES
NEWPORT, VT 05855

Orleans County (802) 334-3504

MRS. VIVIAN M CALOBRISI PA-C

Physician Assistant

41 MEDICAL VILLAGE DR
NEWPORT, VT 05855

Orleans County (802) 334-3504

DR. RIZWAN UL HAQ MD

Psychiatry & Neurology (Neurology)

41 MEDICAL VILLAGE DR
NEWPORT, VT 05855

Orleans County (802) 334-3500

LARRY ALLEN SISSON MD

Surgery

41 MEDICAL VILLAGE DR
NEWPORT, VT 05855

Orleans County (802) 334-3500

MRS. ELIZABETH H HARTMAN ANP

Nurse Practitioner (Family)

41 MEDICAL VILLAGE DR
NEWPORT, VT 05855

Orleans County (802) 334-3504

DR. RUSSELL G. SARVER MD

Urology

41 MEDICAL VILLAGE DR
NEWPORT, VT 05855

Orleans County (802) 334-3500

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 Matthew Kelley's NPI number?

The NPI number for Matthew Kelley is 1417376476. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Where is Matthew Kelley located?

Matthew Kelley practices at 41 Medical Village Dr, Newport, VT 05855. The listed phone number is (802) 334-3500.

What is Matthew Kelley's specialty?

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

Is Matthew Kelley enrolled in Medicare?

Yes. Matthew Kelley 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.

Which organization bills Medicare for Matthew Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Kelley reassigns Medicare benefits to North Country Hospital & Health Center Inc (Newport, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Kelley accept?

Health plans from Anthem Blue Cross and Blue Shield list Matthew Kelley 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 Matthew Kelley affiliated with any hospitals?

According to CMS data, Matthew Kelley is affiliated with Mary Hitchcock Memorial Hospital and North Country Hospital And Health Center.

When was this NPI record last updated?

The NPPES record for Matthew Kelley was last updated on July 7, 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.