DR. PAUL F KELLY M.D.
NPI 1548297930
Internal Medicine - Cardiovascular Disease in Waterbury, CT

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
56 FRANKLIN ST., 3RD FLOOR, WATERBURY, CT 06706(203) 709-6000 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Paul F Kelly M.d. NPPES

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

DR. PAUL F KELLY M.D. (NPI 1548297930) is an individual cardiovascular disease provider in Waterbury, Connecticut, licensed in Connecticut (035359) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (1986).

NPPES Registry Identity

NPI1548297930
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. PAUL F KELLYCredential: M.D.
Location Address56 FRANKLIN ST., 3RD FLOORWaterbury, CT 06706-1253
Mailing Address56 Franklin St., 3rd FloorWaterbury, CT 06706-1253 · (203) 709-6000
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1986
Enumeration DateJune 28, 2006
Last NPPES UpdateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
NPI 1548297930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CT · 035359
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
56 FRANKLIN ST., Waterbury, CT 06706

Other Identifiers 12

Other035359CT · Connecticare
Other0R03179CT · Health Net Of Northeast
OtherP407727CT · Oxford Health Plans
Other01035359CT · Cigna Health Plans
Other873719CT · Usa
OtherP00025411CT · Rr Medicare
Other010035359CT01CO · Anthem Bc & Bs
Other4369921CT · Aetna Health Plans
Other604583CT · United Healthcare
Medicaid001353599CT
Other10-86502CT · Uhc
Other206706CT · Wellcare

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

Dr. Paul F Kelly M.d. 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 ID6204925050
PECOS Enrollment IDI20100223000210
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 21

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.
682 services404 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
343 services30 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
272 services233 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.
117 services75 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
104 services38 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
91 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06706 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
35%668 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST.
WATERBURY, CT 06706
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST.
WATERBURY, CT 06706
Dentist (General Practice)
56 FRANKLIN ST.
WATERBURY, CT 06706
Physician Assistant
56 FRANKLIN ST., 3RD FLOOR
WATERBURY, CT 06706

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 Paul Kelly's NPI number?

The NPI number for Paul Kelly is 1548297930. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Paul Kelly located?

Paul Kelly practices at 56 Franklin St. 3rd Floor, Waterbury, CT 06706. The listed phone number is (203) 709-6000.

What is Paul Kelly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Paul Kelly enrolled in Medicare?

Yes. Paul 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.

When was this NPI record last updated?

The NPPES record for Paul Kelly was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.