KELLY DALLAS PA-C
NPI 1497091193
Physician Assistant in Medford, NJ

Q: What is Kelly Dallas's NPI number?

The NPI number for Kelly Dallas is 1497091193. It was assigned to this individual provider in the NPPES registry on December 27, 2012.

Q: What is Kelly Dallas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Dallas was last updated on February 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 27, 2012PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

131 ROUTE 70 STE 100A, MEDFORD, NJ 08055(609) 267-9400(609) 451-5518 Get Directions Write a Review

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

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About Kelly Dallas Pa-c NPPES

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

KELLY DALLAS PA-C (NPI 1497091193) is an individual physician assistant in Medford, New Jersey, licensed in New Jersey (25MP00300900) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1497091193

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLY DALLASCredential: PA-C

Location Address131 ROUTE 70 STE 100AMedford, NJ 08055-9501

Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197

Phone(609) 267-9400

Fax(609) 451-5518

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateDecember 27, 2012

Last NPPES UpdateFebruary 26, 2026

NPPES CertifiedFebruary 26, 2026

✔ NPI 1497091193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NJ · 25MP00300900

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.

131 ROUTE 70 STE 100A, Medford, NJ 08055

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Secondary Practice Locations 7

Location 12103 Mount Holly RdBurlington, NJ 08016-4157 · Phone (609) 747-9200 · Fax (609) 747-1408

Location 2200 Bowman Dr Ste E100Voorhees, NJ 08043-9648 · Phone (609) 267-9400 · Fax (856) 809-2334

Location 3300 W Route 38 Ste AMoorestown, NJ 08057-3424 · Phone (609) 267-9400 · Fax (856) 234-3921

Location 4570 Egg Harbor Rd Ste C4-ASewell, NJ 08080-2359 · Phone (609) 267-9400 · Fax (856) 270-2786

Location 5325 Route 70 ECherry Hill, NJ 08034-2408 · Phone (609) 267-9400 · Fax (856) 488-5709

Location 6243 US Highway 130 Ste 100Bordentown, NJ 08505-2137 · Phone (609) 267-9400 · Fax (609) 424-3517

Location 7994 W Sherman AveVineland, NJ 08360-6937 · Phone (609) 267-9400 · Fax (856) 696-2214

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

Kelly Dallas Pa-c 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 ID2668627258

PECOS Enrollment IDI20130305000528

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 12

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

189 services33 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

93 services93 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

72 services59 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

64 services63 patients

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324

Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.

51 services26 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

34 services25 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

33 services32 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

23 services23 patients

Initial hospital inpatient care per day, typically 30 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

19 services19 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

17 services17 patients

Established patient office or other outpatient visit, 10-19 minutes 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services15 patients

New patient office or other outpatient visit, 30-44 minutes 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.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310022

Location100 Bowman DriveVoorhees, NJ 08043 · Camden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08055 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 11

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

DR. CHRISTOPHER LEONARD HAYDEL SR. M.D.

Orthopaedic Surgery