MARK KELLY
NPI 1427016633
Otolaryngology in Laconia, NH

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
89.36/100
CMS Quality Rating
85 SPRING ST, LACONIA, NH 03246(603) 524-7402 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 31, 2020, May 26, 2020 (2 updates tracked since 2020).

About Mark Kelly NPPES

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

MARK KELLY (NPI 1427016633) is an individual otolaryngology provider in Laconia, New Hampshire, licensed in New Hampshire (11416) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Concord Hospital, and maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1427016633
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMARK KELLY
Location Address85 SPRING STLaconia, NH 03246-3113
Mailing Address85 Spring StLaconia, NH 03246-3113 · (603) 524-7402 · Fax (603) 227-7596
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1985
Enumeration DateMay 4, 2006
Last NPPES UpdateAugust 31, 20202 updates tracked since enumeration
NPPES CertifiedAugust 31, 2020
NPI 1427016633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NH · 11416
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedSpecialistTaxonomy 174400000X · License 11416 (NH)
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License 11416 (NH)
85 SPRING ST, Laconia, NH 03246

Secondary Practice Location 1

Location 160 Commercial St Ste 401Concord, NH 03301-5096 · Phone (603) 789-9150 · Fax (603) 227-7592

Other Identifiers 2

Medicaid30201594NH
Medicaid3077628NH

Accepted 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

Mark Kelly 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 ID9739194838
PECOS Enrollment IDI20060210000276
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 13

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.
249 services217 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
240 services22 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.
104 services91 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.
68 services63 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.
46 services46 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.
39 services34 patients

Hospital Affiliations CMS Care Compare 5

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

Concord Hospital

Acute Care Hospitals · Concord, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300001
Location250 Pleasant StConcord, NH 03301 · Merrimack County
Birthing friendly

Concord Hospital- Laconia

Acute Care Hospitals · Laconia, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300005
Location80 Highland StLaconia, NH 03246 · Belknap County
Emergency services

Concord Hospital- Franklin

Critical Access Hospitals · Franklin, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301306
Location15 Aiken AvenueFranklin, NH 03235 · Merrimack County
Emergency services

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

Huggins Hospital

Critical Access Hospitals · Wolfeboro, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301312
Location240 South Main StreetWolfeboro, NH 03894 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03246 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

89.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.19
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
85 SPRING ST
LACONIA, NH 03246
Family Medicine
85 SPRING ST
LACONIA, NH 03246
Otolaryngology
85 SPRING ST
LACONIA, NH 03246
Internal Medicine (Cardiovascular Disease)
85 SPRING ST
LACONIA, NH 03246
Otolaryngology
85 SPRING ST
LACONIA, NH 03246
Internal Medicine (Cardiovascular Disease)
85 SPRING ST, SUIT # 3B
LACONIA, NH 03246
Otolaryngology
85 SPRING ST
LACONIA, NH 03246
Social Worker (Clinical)
85 SPRING ST
LACONIA, NH 03246

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 Mark Kelly's NPI number?

The NPI number for Mark Kelly is 1427016633. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Mark Kelly located?

Mark Kelly practices at 85 Spring St, Laconia, NH 03246. The listed phone number is (603) 524-7402.

What is Mark Kelly's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Mark Kelly enrolled in Medicare?

Yes. Mark 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.

What insurance does Mark Kelly accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Mark Kelly 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 Mark Kelly affiliated with any hospitals?

According to CMS data, Mark Kelly is affiliated with Concord Hospital, Concord Hospital- Laconia, Concord Hospital- Franklin, Memorial Hospital, The and Huggins Hospital.

When was this NPI record last updated?

The NPPES record for Mark Kelly was last updated on August 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.