KELLY MCGRATH MD
NPI 1609871060
Family Medicine in Orofino, ID

Q: What is Kelly Mcgrath's NPI number?

The NPI number for Kelly Mcgrath is 1609871060. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Q: What is Kelly Mcgrath's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Mcgrath was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment

94.91/100

CMS Quality Rating

301 CEDAR ST, OROFINO, ID 83544(208) 476-4555(208) 476-5385 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kelly Mcgrath Md NPPES

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

KELLY MCGRATH MD (NPI 1609871060) is an individual family medicine provider in Orofino, Idaho, licensed in Idaho (M6320) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with St Joseph Regional Medical Center, and is a graduate of University Of Washington School Of Medicine (1989).

NPPES Registry Identity

NPI1609871060

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKELLY MCGRATHCredential: MD

Location Address301 CEDAR STOrofino, ID 83544-9029

Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 476-5777 · Fax (208) 476-5385

Phone(208) 476-4555

Fax(208) 476-5385

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 1989

Enumeration DateJune 14, 2005

Last NPPES UpdateAugust 6, 2021

NPPES CertifiedAugust 6, 2021

✔ NPI 1609871060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · M6320

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.

301 CEDAR ST, Orofino, ID 83544

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Other Identifiers 2

Medicaid003833500ID

OtherF25998ID · Upin #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.Insurance ›

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

Kelly Mcgrath 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 ID7012800956

PECOS Enrollment IDI20040205000112

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 Reassignments

Medicare enrollment records show Kelly Mcgrath reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clearwater Valley Hospital & Clinics Inc.

0.1 mi

Family Medicine

301 CEDAR ST
Orofino, ID 83544

Reassigned Medicare billing, Idaho enrollment
Also billed through NPI 1033153739 (Idaho)
89 clinicians in this Medicare group

NPI 1073551396 (208) 476-4555

St. Mary's Hospital Inc

17 mi

Family Medicine

501 OAK
Nezperce, ID 83543

Reassigned Medicare billing, Idaho enrollment
Medicare enrollment name: St Marys Hospital Inc
95 clinicians in this Medicare group

NPI 1366480394 (208) 937-2496

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

Areas of Expertise CMS Part B claims 2

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.

78 services36 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.

36 services36 patients

Hospital Affiliations CMS Care Compare 3

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

St Joseph Regional Medical Center

Acute Care Hospitals · Lewiston, ID

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130003

Location415 Sixth StreetLewiston, ID 83501 · Nez Perce County

Emergency services Birthing friendly

Clearwater Valley Hospital & Clinics

Critical Access Hospitals · Orofino, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131320

Location301 Cedar StreetOrofino, ID 83544 · Clearwater County

Emergency services

St Marys Hospital And Clinics

Critical Access Hospitals · Cottonwood, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131321

Location701 Lewiston StCottonwood, ID 83522 · Idaho County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83544 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

94.91/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.83

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

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

3 suppliers25 claims42 services$4.72 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier15 claims15 services$777.56 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

2 suppliers16 claims16 services$108.21 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

2 suppliers14 claims2,010 services$0.09 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers14 claims14 services$24.16 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.

CLEARWATER VALLEY HOSPITAL & CLINICS INC.

Clinic/Center (Rural Health)