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KELLEY ANDERSON DO
NPI 1528212271
Family Medicine - Sports Medicine in Pittsburgh, PA

Active since November 07, 2008PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3471 5TH AVE, SUITE 1010, PITTSBURGH, PA 15213(412) 687-3900(412) 687-3724 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelley Anderson Do NPPES

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

KELLEY ANDERSON DO (NPI 1528212271) is an individual sports medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (OS015428) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2008).

NPPES Registry Identity

NPI1528212271
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameKELLEY ANDERSONCredential: DO
Location Address3471 5TH AVE, SUITE 1010Pittsburgh, PA 15213-3215
Mailing Address200 Lothrop St, Forbes Tower Room 9055Pittsburgh, PA 15213-2536 · (412) 647-3087 · Fax (412) 647-4486
Phone(412) 687-3900
Fax(412) 687-3724
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2008
Enumeration DateNovember 7, 2008
Last NPPES UpdateJune 19, 2012
✔ NPI 1528212271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in PA · OS015428
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
3471 5TH AVE, Pittsburgh, PA 15213
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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 and accepts Medicare assignment

Kelley Anderson Do 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 ID5991968232
PECOS Enrollment IDI20120523000442
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 4

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.

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.
40 services13 patients
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.
26 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 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.
20 services16 patients

Hospital Affiliations CMS Care Compare

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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. JOSEPH CHAK KA KWOK D.O.
Physical Medicine & Rehabilitation
3471 5TH AVE, KAUFMAN BUILDING SUITE 201
PITTSBURGH, PA 15213
Allegheny County (412) 648-6138
ALEXANDER PATRICK HOFFMAN M.D.
Orthopaedic Surgery
3471 5TH AVE, KAUFMANN MEDICAL BUILDING - SUITE 1010
PITTSBURGH, PA 15213
Allegheny County (412) 605-3277
ROBERT B NOLAND MD
Specialist
3471 5TH AVE, SUITE 102
PITTSBURGH, PA 15213
Allegheny County (412) 682-4005
MARIA BALDWIN MD
Psychiatry & Neurology (Epilepsy)
3471 5TH AVE, KAUFMANN BLDG. SUITE 810
PITTSBURGH, PA 15213
Allegheny County (412) 692-4920
LINDA SEKHON PA
Physician Assistant (Medical)
3471 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 647-8700
JAMIE ILGENFRITZ PA-C
Physician Assistant (Surgical)
3471 5TH AVE, SUITE 1010
PITTSBURGH, PA 15213
Allegheny County (412) 605-3900
UNIVERSITY OF PITTSBURGH PHYSICIANS
Orthopaedic Surgery
3471 5TH AVE, SUITE 102
PITTSBURGH, PA 15213
Allegheny County (412) 647-0100
MR. GUHA JAY GANESH
Student in an Organized Health Care Education/Training Program
3471 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345

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 Kelley Anderson's NPI number?

The NPI number for Kelley Anderson is 1528212271. It was assigned to this individual provider in the NPPES registry on November 7, 2008.

Where is Kelley Anderson located?

Kelley Anderson practices at 3471 5th Ave Suite 1010, Pittsburgh, PA 15213. The listed phone number is (412) 687-3900.

What is Kelley Anderson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Kelley Anderson enrolled in Medicare?

Yes. Kelley Anderson 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.

Is Kelley Anderson affiliated with any hospitals?

According to CMS data, Kelley Anderson is affiliated with Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Kelley Anderson was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.