MR. KYLE KELLY P.A.
NPI 1457948804
Physician Assistant in Westlake, OH

Active since December 30, 2020PECOS EnrolledAccepts Medicare Assignment
4350 CROCKER ROAD, STE 300, WESTLAKE, OH 44145(440) 558-8005(440) 835-4790 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2023, Dec 30, 2020 (2 updates tracked since 2020).

About Mr. Kyle Kelly P.a. NPPES

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

MR. KYLE KELLY P.A. (NPI 1457948804) is an individual physician assistant in Westlake, Ohio, licensed in Ohio (50.00763RX) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1457948804
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KYLE KELLYCredential: P.A.
Location Address4350 CROCKER ROAD, STE 300Westlake, OH 44145-6329
Mailing Address2000 Auburn Dr., Ste. 350Beachwood, OH 44122-4327 · (440) 646-1600 · Fax (440) 646-1505
Fax(440) 835-4790
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 30, 2020
Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
NPI 1457948804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 50.00763RX
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4350 CROCKER ROAD, Westlake, OH 44145

Other Identifiers 1

Medicaid0018527OH

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

Mr. Kyle Kelly P.a. 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 ID941666010
PECOS Enrollment IDI20230515003203
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 11

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
358 services50 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.
187 services130 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
91 services65 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
68 services47 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.
61 services61 patients
Shaving of skin growth of body, arms, or legs, 0.5 cm or less 11300
This is a simple procedure where a small skin growth on your body, arms, or legs, measuring 0.5 cm or less, is carefully shaved off. It's typically quick, with minimal discomfort. It helps to prevent any potential health issues related to the growth.
31 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44145 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $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.

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.

Dermatology
4350 CROCKER ROAD, STE.300
WESTLAKE, OH 44145
Dermatology (MOHS-Micrographic Surgery)
4350 CROCKER ROAD, STE 300
WESTLAKE, OH 44145

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 Kyle Kelly's NPI number?

The NPI number for Kyle Kelly is 1457948804. It was assigned to this individual provider in the NPPES registry on December 30, 2020.

Where is Kyle Kelly located?

Kyle Kelly practices at 4350 Crocker Road Ste 300, Westlake, OH 44145. The listed phone number is (440) 558-8005.

What is Kyle Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kyle Kelly enrolled in Medicare?

Yes. Kyle 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 Kyle Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Insurance Corporation of Ohio and SummaCare list Kyle 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.

When was this NPI record last updated?

The NPPES record for Kyle Kelly was last updated on October 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.