DR. RICHARD ALLEN KELLY M.D.
NPI 1447264643
Family Medicine in Southaven, MS

Q: What is Richard Kelly's NPI number?

The NPI number for Richard Kelly is 1447264643. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Richard Kelly's specialty?

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

Q: Is Richard Kelly enrolled in Medicare?

No. Richard Kelly has opted out of Medicare through October 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Richard Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 July 27, 2006Opted out of Medicare · through Oct 20, 2026

210 GOODMAN RD E, SOUTHAVEN, MS 38671(662) 349-2251(662) 349-2602 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Richard Allen Kelly M.d. NPPES

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

DR. RICHARD ALLEN KELLY M.D. (NPI 1447264643) is an individual family medicine provider in Southaven, Mississippi, licensed in Mississippi (11375) and active in the NPI registry since July 2006. He has opted out of Medicare through October 20, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1447264643

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RICHARD ALLEN KELLYCredential: M.D.

Location Address210 GOODMAN RD ESouthaven, MS 38671-9520

Mailing Address210 Goodman Rd ESouthaven, MS 38671-9520 · (662) 349-2251 · Fax (662) 349-2602

Phone(662) 349-2251

Fax(662) 349-2602

Sole ProprietorNo

Enumeration DateJuly 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1447264643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MS · 11375

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.

210 GOODMAN RD E, Southaven, MS 38671

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Other Identifiers 1

Medicare UPINC48030MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Richard Allen Kelly M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 20, 2020 through October 20, 2026.

Opt-Out Effective DateOctober 20, 2020

Opt-Out In Effect ThroughOctober 20, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38671 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

33%373 patients2/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

29%858 patients2/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

7%202 patients1/55-star benchmark: 100%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

21%1,189 patients1/55-star benchmark: 88%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$169.80 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

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

RICHARD A KELLY MD, PA

Family Medicine

210 GOODMAN RD E
SOUTHAVEN, MS 38671

Desoto County (662) 349-2251

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 Richard Kelly's NPI number?

The NPI number for Richard Kelly is 1447264643. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Richard Kelly located?

Richard Kelly practices at 210 Goodman Rd E, Southaven, MS 38671. The listed phone number is (662) 349-2251.

What is Richard Kelly's specialty?

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

Is Richard Kelly enrolled in Medicare?

No. Richard Kelly has opted out of Medicare through October 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Richard Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.