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KELLY MARIE BETHUNE DO
NPI 1477940690
Pediatrics in West Islip, NY

Active since April 26, 2015PECOS Enrolled
1000 MONTAUK HWY, WEST ISLIP, NY 11795(631) 376-4444 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Marie Bethune Do NPPES

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

KELLY MARIE BETHUNE DO (NPI 1477940690) is an individual pediatrics provider in West Islip, New York, licensed in New York (292206) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1477940690
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKELLY MARIE BETHUNECredential: DO
Location Address1000 MONTAUK HWYWest Islip, NY 11795-4927
Mailing Address1000 Montauk HwyWest Islip, NY 11795-4927 · (631) 376-4444
Phone(631) 376-4444
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 26, 2015
Last NPPES UpdateAugust 13, 2019
✔ NPI 1477940690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 292206
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1000 MONTAUK HWY, West Islip, NY 11795
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Marie Bethune Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688143209
PECOS Enrollment IDI20260513001624
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

DR. ANTHONY NGUYEN MD
Obstetrics & Gynecology
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163
LAUREN MARIE CHOBAN DO
Emergency Medicine
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
MISS MUNMUN AZIZ MD
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (929) 340-5665
TERENCE JAMES OMALLEY MD
Anesthesiology
1000 MONTAUK HWY, GOOD SAMARITAN HOSPITAL MEDICAL CENTER
WEST ISLIP, NY 11795
Suffolk County (631) 376-4088
PIOTR PAPUZINSKI MD
Internal Medicine
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
LAURIE WATERS PA
Physician Assistant
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
SHELLEY MATSON RN
Registered Nurse
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
RIDDA MANZOOR MD
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163

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 Kelly Bethune's NPI number?

The NPI number for Kelly Bethune is 1477940690. It was assigned to this individual provider in the NPPES registry on April 26, 2015.

Where is Kelly Bethune located?

Kelly Bethune practices at 1000 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 376-4444.

What is Kelly Bethune's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kelly Bethune enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Bethune was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.