KATHLEEN KELLY PA-C
NPI 1508315391
Physician Assistant in Englewood, OH

Active since September 22, 2016PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
9000 N MAIN ST STE 232, ENGLEWOOD, OH 45415(937) 277-8988(937) 277-9035 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 20, 2021, Aug 8, 2019, Feb 27, 2017 and 3 more (6 updates tracked since 2016).

About Kathleen Kelly Pa-c NPPES

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

KATHLEEN KELLY PA-C (NPI 1508315391) is an individual physician assistant in Englewood, Ohio, licensed in Ohio (50.004784RX) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains a secondary practice location in Kettering.

NPPES Registry Identity

NPI1508315391
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHLEEN KELLYCredential: PA-C
Location Address9000 N MAIN ST STE 232Englewood, OH 45415
Mailing Address3170 Kettering Blvd Bldg B3Moraine, OH 45439-1924 · (937) 991-3188 · Fax (937) 223-9811
Fax(937) 277-9035
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 22, 2016
Last NPPES UpdateJanuary 20, 20216 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2021
NPI 1508315391 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 OH · 50.004784RX
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.

9000 N MAIN ST STE 232, Englewood, OH 45415

Other Names 1

Former Name (1)Kathleen Yeary

Secondary Practice Location 1

Location 13535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 395-6010 · Fax (937) 522-7873

Other Identifiers 1

Medicaid0186637OH

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

Kathleen Kelly 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 ID6204114358
PECOS Enrollment IDI20161025002062
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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
104 services73 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.
67 services45 patients
Insertion of temporary bladder tube 51701
This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.
66 services56 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services29 patients
Repair of herniated rectum into vaginal wall 57250
This procedure involves correcting a physical condition where part of the rectum bulges into the vaginal area. It's done by repositioning the rectum and strengthening the tissue between the two areas to prevent recurrence.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45415 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.

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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 3

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

Advanced Practice Midwife
9000 N MAIN ST STE 232
ENGLEWOOD, OH 45415
Obstetrics & Gynecology
9000 N MAIN ST STE 232
ENGLEWOOD, OH 45415
Obstetrics & Gynecology
9000 N MAIN ST STE 232
ENGLEWOOD, OH 45415

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 Kathleen Kelly's NPI number?

The NPI number for Kathleen Kelly is 1508315391. It was assigned to this individual provider in the NPPES registry on September 22, 2016.

Where is Kathleen Kelly located?

Kathleen Kelly practices at 9000 N Main St Ste 232, Englewood, OH 45415. The listed phone number is (937) 277-8988.

What is Kathleen Kelly's specialty?

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

Is Kathleen Kelly enrolled in Medicare?

Yes. Kathleen 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 Kathleen Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Kathleen 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.

Is Kathleen Kelly affiliated with any hospitals?

According to CMS data, Kathleen Kelly is affiliated with Miami Valley Hospital, Atrium Medical Center and Kettering Health Main Campus.

When was this NPI record last updated?

The NPPES record for Kathleen Kelly was last updated on January 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.