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MR. NATHANIEL JUSTIN KELLY MD
NPI 1548823552
Internal Medicine in Grants Pass, OR

Active since April 16, 2019PECOS EnrolledAccepts Medicare Assignment
83.78/100
CMS Quality Rating
500 SW RAMSEY, GRANTS PASS, OR 97527(541) 472-7000(513) 686-6868 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 18, 2022, Oct 9, 2022, Jan 3, 2020 and 1 more (4 updates tracked since 2019).

About Mr. Nathaniel Justin Kelly Md NPPES

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

MR. NATHANIEL JUSTIN KELLY MD (NPI 1548823552) is an individual internal medicine provider in Grants Pass, Oregon, licensed in Oregon (MD209942) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1548823552
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. NATHANIEL JUSTIN KELLYCredential: MD
Location Address500 SW RAMSEYGrants Pass, OR 97527
Mailing Address500 Sw RamseyGrants Pass, OR 97527 · (541) 472-7000 · Fax (513) 686-6868
Phone(541) 472-7000
Fax(513) 686-6868
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 16, 2019
Last NPPES UpdateOctober 18, 20224 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1548823552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · MD209942
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
500 SW RAMSEY, Grants Pass, OR 97527
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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

Mr. Nathaniel Justin Kelly 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.

PECOS PAC ID6204212053
PECOS Enrollment IDI20220930001389
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
240 services111 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
109 services105 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
105 services103 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
70 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
45 services24 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 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.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97527 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

83.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.08
Promoting Interoperability100
Improvement Activities40
Cost63.86

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.

THOMAS R LEBLANC CRNA
Nurse Anesthetist, Certified Registered
500 SW RAMSEY
GRANTS PASS, OR 97527
Josephine County (541) 472-7000
BRETT M WILLIAMS FNP
Nurse Practitioner (Family)
500 SW RAMSEY
GRANTS PASS, OR 97527
Josephine County (541) 472-7000
CLINTON DALE BANNING FNP
Nurse Practitioner (Family)
500 SW RAMSEY
GRANTS PASS, OR 97527
Josephine County (541) 472-7069
MICHAEL SCOTT JOHNSON R.PH.
Pharmacist
500 SW RAMSEY
GRANTS PASS, OR 97527
Josephine County (541) 472-7212

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 Nathaniel Kelly's NPI number?

The NPI number for Nathaniel Kelly is 1548823552. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Where is Nathaniel Kelly located?

Nathaniel Kelly practices at 500 SW Ramsey, Grants Pass, OR 97527. The listed phone number is (541) 472-7000.

What is Nathaniel Kelly's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nathaniel Kelly enrolled in Medicare?

Yes. Nathaniel 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.

Is Nathaniel Kelly affiliated with any hospitals?

According to CMS data, Nathaniel Kelly is affiliated with Asante Three Rivers Medical Center.

When was this NPI record last updated?

The NPPES record for Nathaniel Kelly was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.