DR. KELLY ANNE TERNES D.O.
NPI 1609187020
Internal Medicine - Pulmonary Disease in Shelby Township, MI

Q: What is Kelly Ternes's NPI number?

The NPI number for Kelly Ternes is 1609187020. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Q: What is Kelly Ternes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Ternes was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment

50505 SCHOENHERR RD STE 290, SHELBY TOWNSHIP, MI 48315(586) 314-0080(877) 673-3562 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2025, Jul 10, 2023, Feb 2, 2023 and 1 more (4 updates tracked since 2017).

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About Dr. Kelly Anne Ternes D.o. NPPES

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

DR. KELLY ANNE TERNES D.O. (NPI 1609187020) is an individual pulmonary disease provider in Shelby Township, Michigan, licensed in Michigan (5101018824) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and maintains a secondary practice location in Saint Clair Shores.

NPPES Registry Identity

NPI1609187020

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameDR. KELLY ANNE TERNESCredential: D.O.

Location Address50505 SCHOENHERR RD STE 290Shelby Township, MI 48315-3141

Mailing Address50505 Schoenherr Rd Ste 290Shelby Township, MI 48315-3141 · (586) 314-0080 · Fax (877) 673-3562

Phone(586) 314-0080

Fax(877) 673-3562

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2010

Enumeration DateJune 30, 2010

Last NPPES UpdateMarch 13, 20254 updates tracked since enumeration

NPPES CertifiedMarch 13, 2025

✔ NPI 1609187020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MI · 5101018824

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 5101018824 (MI)

50505 SCHOENHERR RD STE 290, Shelby Township, MI 48315

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Secondary Practice Location 1

Location 121000 E 12 Mile Rd Ste 112Saint Clair Shores, MI 48081-1156 · Phone (586) 314-0080 · Fax (877) 673-3562

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Kelly Anne Ternes D.o. 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 ID1052553195

PECOS Enrollment IDI20140303001925

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 18

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 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.

401 services181 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

275 services114 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.

250 services155 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

199 services16 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

160 services19 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

118 services16 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

109 services106 patients

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.

63 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

52 services52 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

50 services48 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

50 services47 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

50 services48 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

50 services48 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

50 services48 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.

30 services29 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

24 services24 patients

Hemoglobin measurement 88738

Hemoglobin measurement is a common blood test that helps evaluate your overall health and detect various diseases. It measures the amount of hemoglobin, a protein in your red blood cells that carries oxygen throughout your body. The results can indicate conditions like anemia or polycythemia.

15 services15 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

14 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230047

Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County

Emergency services Birthing friendly

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230089

Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County

Emergency services Birthing friendly

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230216

Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County

Emergency services Birthing friendly

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230227

Location1000 Harrington StMount Clemens, MI 48043 · Macomb County

Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230269

Location44201 Dequindre RoadTroy, MI 48085 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48315 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers27 claims32 services$15.04 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

5 suppliers62 claims62 services$4.72 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

8 suppliers98 claims100 services$67.60 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers42 claims44 services$30.12 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims720 services$6.34 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

9 suppliers17 claims3,120 services$0.08 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

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

KELSEY JOA

Nurse Practitioner (Acute Care)

50505 SCHOENHERR RD STE 290
SHELBY TOWNSHIP, MI 48315

Macomb County (586) 314-0080

LAURA MARIE FRANCIS PA-C

Physician Assistant (Medical)

50505 SCHOENHERR RD STE 290
SHELBY TOWNSHIP, MI 48315

Macomb County (586) 314-0080

DR. JOSEPH MARDELLI M.D.

Internal Medicine (Pulmonary Disease)

50505 SCHOENHERR RD STE 290
SHELBY TOWNSHIP, MI 48315

Macomb County (586) 314-0080

DR. VERONICA KEMERKO SESI D.O.

Psychiatry & Neurology (Neurology)

50505 SCHOENHERR RD STE 290
SHELBY TOWNSHIP, MI 48315

Macomb County (586) 314-0080

DR. JOHN PATRICK WILLOUGHBY M.D.

Internal Medicine (Pulmonary Disease)

50505 SCHOENHERR RD STE 290
SHELBY TWP, MI 48315

Macomb County (586) 314-0080

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 Ternes's NPI number?

The NPI number for Kelly Ternes is 1609187020. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Kelly Ternes located?

Kelly Ternes practices at 50505 Schoenherr Rd Ste 290, Shelby Township, MI 48315. The listed phone number is (586) 314-0080.

What is Kelly Ternes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kelly Ternes enrolled in Medicare?

Yes. Kelly Ternes 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 Kelly Ternes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Kelly Ternes 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 Kelly Ternes affiliated with any hospitals?

According to CMS data, Kelly Ternes is affiliated with Henry Ford Macomb Hospital, Beaumont Hospital - Grosse Pointe, Mclaren Port Huron, Mclaren Macomb and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Kelly Ternes was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.