1. Home
  2. Directory
  3. Illinois
  4. Columbia
  5. Family Medicine
  6. NPI Profile

KELLY ANN WOOD M.D.
NPI 1619193869
Family Medicine in Columbia, IL

Active since April 17, 2007PECOS Enrolled
420 COLUMBIA CTR, COLUMBIA, IL 62236(618) 791-2011(618) 417-6046 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 13, 2024, Jun 4, 2020, Feb 23, 2016 (3 updates tracked since 2016).

About Kelly Ann Wood M.d. NPPES

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

KELLY ANN WOOD M.D. (NPI 1619193869) is an individual family medicine provider in Columbia, Illinois, licensed in Illinois (036123456) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Sparta Community Hospital, and is a graduate of Southern Illinois University School Of Medicine (2006).

NPPES Registry Identity

NPI1619193869
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLY ANN WOODCredential: M.D.
Location Address420 COLUMBIA CTRColumbia, IL 62236-2540
Mailing Address420 Columbia CtrColumbia, IL 62236-2540 · (618) 719-2011 · Fax (618) 417-6046
Phone(618) 791-2011
Fax(618) 417-6046
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2006
Enumeration DateApril 17, 2007
Last NPPES UpdateOctober 17, 20243 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
✔ NPI 1619193869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036123456✔ Licensed in IL · 146940
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.

Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License 89988457 (IL)
420 COLUMBIA CTR, Columbia, IL 62236
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelly Ann Davidson M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Ann Wood M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335293653
PECOS Enrollment IDI20090820000193, I20240429000308
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 5

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 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 services30 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.
19 services19 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
14 services14 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.
12 services12 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141349
Location818 E BroadwaySparta, IL 62286 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62236 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 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
8 suppliers35 claims63 services$6.51 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims17 services$1.13 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers12 claims12 services$36.71 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers14 claims30 services$1.61 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers11 claims11 services$97.54 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers11 claims33 services$28.85 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

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

TOTAL BODY RENEWAL MEDICAL WEIGHT MANAGEMENT & LASER TREATMENT CENTE
Family Medicine
420 COLUMBIA CTR
COLUMBIA, IL 62236
Monroe County (618) 719-2011

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 Wood's NPI number?

The NPI number for Kelly Wood is 1619193869. It was assigned to this individual provider in the NPPES registry on April 17, 2007. The provider is also known as Kelly Ann Davidson M.D..

Where is Kelly Wood located?

Kelly Wood practices at 420 Columbia Ctr, Columbia, IL 62236. The listed phone number is (618) 791-2011.

What is Kelly Wood's specialty?

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

Is Kelly Wood enrolled in Medicare?

Yes. Kelly Wood is registered in the Medicare PECOS enrollment system.

Is Kelly Wood affiliated with any hospitals?

According to CMS data, Kelly Wood is affiliated with Sparta Community Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Wood was last updated on October 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.