JOHN D KELLY IV MD
NPI 1538158472
Orthopaedic Surgery in Philadelphia, PA
About John D Kelly Iv Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN D KELLY IV MD (NPI 1538158472) is an individual orthopaedic surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD034751E) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of University Of Cincinnati College Of Medicine (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John D Kelly Iv Md 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.
Medicare Billing Reassignment
Medicare enrollment records show John Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAChester County Hospital
Acute Care Hospitals · West Chester, PAPenn Presbyterian Medical Center
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 John Kelly's NPI number?
The NPI number for John Kelly is 1538158472. It was assigned to this individual provider in the NPPES registry on October 13, 2005.
Where is John Kelly located?
John Kelly practices at 3400 Spruce St 2 Silverstein Building, Philadelphia, PA 19104. The listed phone number is (215) 662-3340.
What is John Kelly's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is John Kelly enrolled in Medicare?
Yes. John 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.
Which organization bills Medicare for John Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Kelly reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Kelly accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list John 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 John Kelly affiliated with any hospitals?
According to CMS data, John Kelly is affiliated with Hospital Of Univ Of Pennsylvania, Chester County Hospital and Penn Presbyterian Medical Center.
When was this NPI record last updated?
The NPPES record for John Kelly was last updated on August 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# John D Kelly IV, MD · NPI 1538158472
Orthopaedic Surgery physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 13, 2005.
## Identity
- **NPI:** 1538158472 (Entity type: Individual)
- **Enumerated:** October 13, 2005
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** MD034751E (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, 2 SILVERSTEIN BUILDING, Philadelphia, PA 19104-4206
- **Phone:** (215) 662-3340 · **Fax:** (215) 349-5928
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Penn-Medical Group (NPI 1073902169, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 1984
## Record status
- **NPPES last updated:** August 28, 2015
- **Other identifiers:** Medicare PIN 610070 (PA); Medicare UPIN E71369; Medicaid 0012052630001 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1538158472) · Data from the CMS NPPES public registry.