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MR. KELLY BARRETT M.D
NPI 1578201505
Internal Medicine in Yreka, CA

Active since May 20, 2022PECOS EnrolledAccepts Medicare Assignment
444 BRUCE ST FL 1, YREKA, CA 96097(530) 842-4121 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 30, 2025, Aug 11, 2022, May 20, 2022 (3 updates tracked since 2022).

About Mr. Kelly Barrett M.d NPPES

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

MR. KELLY BARRETT M.D (NPI 1578201505) is an individual internal medicine provider in Yreka, California, licensed in California (A201793) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Asante Rogue Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1578201505
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. KELLY BARRETTCredential: M.D
Location Address444 BRUCE ST FL 1Yreka, CA 96097-3450
Mailing Address444 Bruce StYreka, CA 96097-3450 · (530) 842-4121
Phone(530) 842-4121
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 20, 2022
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1578201505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A201793
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
444 BRUCE ST FL 1, Yreka, CA 96097
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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

Mr. Kelly Barrett 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 ID3173904331
PECOS Enrollment IDI20251016004579
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Barrett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Siskiyou Hospital, Inc.
Same address
Critical Access
444 BRUCE ST
Yreka, CA 96097
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1093892275 (California)
  • 64 clinicians in this Medicare group
NPI 1952701369 (530) 842-4121

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96097 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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 Kelly Barrett's NPI number?

The NPI number for Kelly Barrett is 1578201505. It was assigned to this individual provider in the NPPES registry on May 20, 2022.

Where is Kelly Barrett located?

Kelly Barrett practices at 444 Bruce St Fl 1, Yreka, CA 96097. The listed phone number is (530) 842-4121.

What is Kelly Barrett's specialty?

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

Is Kelly Barrett enrolled in Medicare?

Yes. Kelly Barrett 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 Kelly Barrett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Barrett reassigns Medicare benefits to Siskiyou Hospital, Inc. (Yreka, CA). 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 Kelly Barrett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelly Barrett affiliated with any hospitals?

According to CMS data, Kelly Barrett is affiliated with Asante Rogue Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Barrett was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.