DR. KELLY O'DONNELL MD
NPI 1619997772
Phlebology in Annapolis, MD

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
84.99/100
CMS Quality Rating
166 DEFENSE HWY, SUITE 101, ANNAPOLIS, MD 21401(410) 224-3390(410) 224-3370 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly O'donnell Md NPPES

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

DR. KELLY O'DONNELL MD (NPI 1619997772) is an individual phlebology provider in Annapolis, Maryland, licensed in Maryland (D0042645) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Easton, and is a graduate of University Of Maryland School Of Medicine (1990).

NPPES Registry Identity

NPI1619997772
Entity TypeIndividualFemale
Primary Taxonomy202K00000X
Provider Legal NameDR. KELLY O'DONNELLCredential: MD
Location Address166 DEFENSE HWY, SUITE 101Annapolis, MD 21401-8919
Mailing Address166 Defense Hwy Ste 101Annapolis, MD 21401-8921 · (410) 224-3390 · Fax (410) 224-3370
Fax(410) 224-3370
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1990
Enumeration DateJuly 20, 2006
Last NPPES UpdateJune 20, 2023
NPPES CertifiedMay 17, 2023
NPI 1619997772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhlebologyAllopathic & Osteopathic Physicians
Taxonomy Code202K00000X
License Licensed in MD · D0042645
Definition
Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.
Also ListedAnesthesiologyTaxonomy 207L00000X · License MD32654 (DC)
166 DEFENSE HWY, Annapolis, MD 21401

Secondary Practice Location 1

Location 1499 Idlewild Ave Ste 101Easton, MD 21601-4099 · Phone (410) 224-3390 · Fax (410) 224-3370

Other Identifiers 10

Medicaid027449600DC
Other5711193VA · Virginia Medicaid
Other566739DC · Ncppo
Other7016224DC · Aetna Non Hmo
Other212103DC · Kaiser
Other3058246001DC · Cigna Hmo
Medicaid234501301MD
Other0113DC · Carefirst Bcbs
Other2561122DC · Aetna Hmo
Other441777VA · Anthem Bcbs

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 O'donnell 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 ID6002973567
PECOS Enrollment IDI20090327000119
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 17

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.
530 services328 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
528 services259 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
520 services383 patients
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475
This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.
417 services168 patients
Injection of chemical agent into multiple incompetent veins of leg 36471
This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.
321 services158 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.
185 services185 patients

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.

84.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality69.98
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,360 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%2,621 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 608 patients
Patients screened: 100% · 608 patients
100%22 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 100% · 608 patients
100%608 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

Psychologist
166 DEFENSE HWY
ANNAPOLIS, MD 21401
Psychologist (Clinical)
166 DEFENSE HWY
ANNAPOLIS, MD 21401
Family Medicine
166 DEFENSE HWY
ANNAPOLIS, MD 21401
Internal Medicine (Rheumatology)
166 DEFENSE HWY, SUITE 200
ANNAPOLIS, MD 21401
Nurse Practitioner (Adult Health)
166 DEFENSE HWY
ANNAPOLIS, MD 21401
Specialist
166 DEFENSE HWY, SUITE 101
ANNAPOLIS, MD 21401

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 O'donnell's NPI number?

The NPI number for Kelly O'donnell is 1619997772. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Kelly O'donnell located?

Kelly O'donnell practices at 166 Defense Hwy Suite 101, Annapolis, MD 21401. The listed phone number is (410) 224-3390.

What is Kelly O'donnell's specialty?

The primary specialty registered for this NPI is Phlebology with taxonomy code 202K00000X.

Is Kelly O'donnell enrolled in Medicare?

Yes. Kelly O'donnell 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.

When was this NPI record last updated?

The NPPES record for Kelly O'donnell was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.