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DR. KEVIN JAMES KELLY MD
NPI 1437119401
Family Medicine in Harrisburg, PA

Active since March 24, 2006PECOS Enrolled
82.54/100
CMS Quality Rating
805 SIR THOMAS CT FL 2, HARRISBURG, PA 17109(717) 657-3030(717) 671-0991 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 10, 2020, Sep 13, 2018, Dec 18, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Kevin James Kelly Md NPPES

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

DR. KEVIN JAMES KELLY MD (NPI 1437119401) is an individual family medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD037735E) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437119401
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEVIN JAMES KELLYCredential: MD
Location Address805 SIR THOMAS CT FL 2Harrisburg, PA 17109-4839
Mailing Address805 Sir Thomas Ct Fl 2Harrisburg, PA 17109-4839 · (717) 657-3030 · Fax (717) 671-0991
Phone(717) 657-3030
Fax(717) 671-0991
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateDecember 10, 20204 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
✔ NPI 1437119401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD037735E
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.
805 SIR THOMAS CT FL 2, Harrisburg, PA 17109
Open in Google Maps ↗

Other Identifiers 1

Medicaid007100474PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin James Kelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kevin Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pinnacle Health Medical Services
Same address
Orthopaedic Surgery
820 SIR THOMAS CT
Harrisburg, PA 17109
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1770155913 (176) 529-5557

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17109 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Other Providers at the Same Location NPPES 2

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

ANEESA WEINSTEIN PA-C
Physician Assistant
805 SIR THOMAS CT FL 2
HARRISBURG, PA 17109
Dauphin County (717) 657-3030
DR. RYAN D'SOUZA DO
Family Medicine
805 SIR THOMAS CT FL 2
HARRISBURG, PA 17109
Dauphin County (717) 657-3030

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 Kevin Kelly's NPI number?

The NPI number for Kevin Kelly is 1437119401. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Kevin Kelly located?

Kevin Kelly practices at 805 Sir Thomas Ct Fl 2, Harrisburg, PA 17109. The listed phone number is (717) 657-3030.

What is Kevin Kelly's specialty?

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

Is Kevin Kelly enrolled in Medicare?

Yes. Kevin Kelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Kelly reassigns Medicare benefits to Pinnacle Health Medical Services (Harrisburg, PA). 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 Kevin Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Kelly was last updated on December 10, 2020. 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.