DOUGLAS CRAIG KELLY MD
NPI 1568605244
Urology in Virginia Beach, VA

Active since April 11, 2009PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462(757) 457-5100(757) 961-3696 Get Directions Write a Review

NPPES record last updated: January 17, 2017. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Douglas Craig Kelly Md NPPES

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

DOUGLAS CRAIG KELLY MD (NPI 1568605244) is an individual urology provider in Virginia Beach, Virginia, licensed in Virginia (0101257567) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2009).

NPPES Registry Identity

NPI1568605244
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDOUGLAS CRAIG KELLYCredential: MD
Location Address225 CLEARFIELD AVEVirginia Beach, VA 23462-1815
Mailing Address225 Clearfield AveVirginia Beach, VA 23462-1815 · (757) 457-5100 · Fax (757) 961-3696
Fax(757) 961-3696
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2009
Enumeration DateApril 11, 2009
Last NPPES UpdateJanuary 17, 2017
✔ NPI 1568605244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in VA · 0101257567
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
225 CLEARFIELD AVE, Virginia Beach, VA 23462

Other Identifiers 2

Medicare NSC1568605244VA
Medicaid1568605244VA

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

Douglas Craig 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 ID8426271735
PECOS Enrollment IDI20150616001289
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 38

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
9,420 services49 patients
Leuprolide injectable, camcevi, 1 mg J1952
Camcevi, containing 1 mg of Leuprolide, is an injectable medication. It's used to manage certain health conditions by influencing hormone levels in your body. It's administered by a healthcare professional, usually once every month or as directed by your doctor.
5,544 services119 patients
Injection, degarelix, 1 mg J9155
Degarelix injection is a medication administered under the skin to manage certain health conditions. It works by reducing specific hormone levels in the body to slow down disease progression. The dosage is 1 mg, and it is typically given by a healthcare professional.
5,520 services27 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.
684 services527 patients
Bcg live intravesical instillation, 1 mg J9030
BCG live intravesical instillation is a procedure where a weakened form of a bacteria is introduced into your bladder. This helps your body's immune system to fight off certain bladder conditions. The procedure is generally safe and effective.
550 services11 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
524 services461 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Chesapeake General Hospital

Acute Care Hospitals · Chesapeake, VA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490120
Location736 Battlefield Blvd, NorthChesapeake, VA 23320 · Chesapeake City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23462 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.57
Promoting Interoperability100
Improvement Activities40
Cost88.87

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims1,440 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers21 claims3,600 services$1.43 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers12 claims40 services$8.31 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers20 claims500 services$4.73 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers15 claims185 services$5.81 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
2 suppliers16 claims330 services$3.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Physical Therapist
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Physician Assistant
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Nurse Practitioner
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Physical Therapist
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Urology
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Student in an Organized Health Care Education/Training Program
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Student in an Organized Health Care Education/Training Program
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462

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 Douglas Kelly's NPI number?

The NPI number for Douglas Kelly is 1568605244. It was assigned to this individual provider in the NPPES registry on April 11, 2009.

Where is Douglas Kelly located?

Douglas Kelly practices at 225 Clearfield Ave, Virginia Beach, VA 23462. The listed phone number is (757) 457-5100.

What is Douglas Kelly's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Douglas Kelly enrolled in Medicare?

Yes. Douglas 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 Douglas Kelly affiliated with any hospitals?

According to CMS data, Douglas Kelly is affiliated with Sentara Norfolk General Hospital, Sentara Leigh Hospital, Sentara Virginia Beach General Hospital, Sentara Princess Anne Hospital and Chesapeake General Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Kelly was last updated on January 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.