AMY MARIE KELLY DO
NPI 1578797668
Family Medicine in Saint Marys, PA

Active since May 05, 2009PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
757 JOHNSONBURG RD, SUITE 100, SAINT MARYS, PA 15857(814) 788-8580(814) 788-8018 Get Directions Write a Review

NPPES record last updated: November 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amy Marie Kelly Do NPPES

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

AMY MARIE KELLY DO (NPI 1578797668) is an individual family medicine provider in Saint Marys, Pennsylvania, licensed in Pennsylvania (OT013046) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1578797668
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMY MARIE KELLYCredential: DO
Location Address757 JOHNSONBURG RD, SUITE 100Saint Marys, PA 15857-3488
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-6560 · Fax (814) 372-2848
Fax(814) 788-8018
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 5, 2009
Last NPPES UpdateNovember 8, 2016
NPI 1578797668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · OT013046
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
757 JOHNSONBURG RD, Saint Marys, PA 15857

Other Identifiers 1

Medicare UPINRES000PA

Accepted Insurance

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

Amy Marie Kelly Do 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 ID2769646058
PECOS Enrollment IDI20120618000562
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 6

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.
555 services327 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
247 services247 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
170 services113 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
39 services35 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
23 services23 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Connellsville

Acute Care Hospitals · Connellsville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390184
Location401 East Murphy AvenueConnellsville, PA 15425 · Fayette County
Emergency services

Upmc Cole

Critical Access Hospitals · Coudersport, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391313
Location1001 East Second StreetCoudersport, PA 16915 · Potter County
Emergency services Birthing friendly

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15857 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95.96
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 16

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers106 claims179 services$5.36 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers32 claims32 services$1.00 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
1 supplier12 claims2,160 services$1.61 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
1 supplier28 claims28 services$44.47 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers18 claims18 services$114.14 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers17 claims32 services$41.84 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 11

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

Family Medicine
757 JOHNSONBURG RD, GROUND FLOOR REHAB BUILDING
SAINT MARYS, PA 15857
Family Medicine
757 JOHNSONBURG RD
SAINT MARYS, PA 15857
Family Medicine
757 JOHNSONBURG RD, SUITE 110
SAINT MARYS, PA 15857
Occupational Therapist
757 JOHNSONBURG RD
SAINT MARYS, PA 15857
Physical Therapist
757 JOHNSONBURG RD
SAINT MARYS, PA 15857
Speech-Language Pathologist
757 JOHNSONBURG RD
SAINT MARYS, PA 15857
Clinical Medical Laboratory
757 JOHNSONBURG RD, SUITE 100
SAINT MARYS, PA 15857
Physician Assistant
757 JOHNSONBURG RD, SUITE 110
SAINT MARYS, PA 15857

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 Amy Kelly's NPI number?

The NPI number for Amy Kelly is 1578797668. It was assigned to this individual provider in the NPPES registry on May 5, 2009.

Where is Amy Kelly located?

Amy Kelly practices at 757 Johnsonburg Rd Suite 100, Saint Marys, PA 15857. The listed phone number is (814) 788-8580.

What is Amy Kelly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amy Kelly enrolled in Medicare?

Yes. Amy 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.

What insurance does Amy Kelly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Amy 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 Amy Kelly affiliated with any hospitals?

According to CMS data, Amy Kelly is affiliated with Penn Highlands Dubois, Penn Highlands Connellsville, Upmc Cole and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Amy Kelly was last updated on November 8, 2016. 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.