DR. THOMAS J KELLY DO
NPI 1629026596
Emergency Medicine in Fort Walton Beach, FL

Q: What is Thomas Kelly's NPI number?

The NPI number for Thomas Kelly is 1629026596. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Thomas Kelly's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Kelly was last updated on March 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 May 04, 2006PECOS EnrolledAccepts Medicare Assignment

1000 MAR WALT DR, FORT WALTON BEACH, FL 32547(850) 863-7607(205) 437-5998 Get Directions Write a Review

NPPES record last updated: March 20, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Thomas J Kelly Do NPPES

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

DR. THOMAS J KELLY DO (NPI 1629026596) is an individual emergency medicine provider in Fort Walton Beach, Florida, licensed in Florida (OS6762) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Tyler Holmes Memorial Hospital Cah, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1629026596

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. THOMAS J KELLYCredential: DO

Location Address1000 MAR WALT DRFort Walton Beach, FL 32547-6708

Mailing AddressPo Box 88452Chicago, IL 60680-1452 · (205) 437-6098 · Fax (205) 437-5998

Phone(850) 863-7607

Fax(205) 437-5998

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateMay 4, 2006

Last NPPES UpdateMarch 20, 2009

✔ NPI 1629026596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in FL · OS6762

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1000 MAR WALT DR, Fort Walton Beach, FL 32547

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Other Identifiers 9

Medicare UPINA03469FL

Medicaid376379000FL

Other059190499AL · Bcbs Provider Number

Medicare PIN80923EFL

Other059185641AL · Bcbs Provider Number

Medicare PIN80923TFL

Medicare PINP00283678FL

Other80923FL · Bcbs Provider Number

Medicare PIN80923SFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Dr. Thomas J 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 ID2163416165

PECOS Enrollment IDI20040413000455, I20090803000344

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 Thomas Kelly reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Alabama Physicians,llp

75 mi

Emergency Medicine

400 N EDWARDS ST
Enterprise, AL 36330

Reassigned Medicare billing, Alabama enrollment
111 clinicians in this Medicare group

NPI 1649696378 (334) 347-0584

Nes Tennessee Inc

83 mi

Emergency Medicine

2016 S ALABAMA AVE
Monroeville, AL 36460

Reassigned Medicare billing, Alabama enrollment
168 clinicians in this Medicare group

NPI 1013519230 (251) 575-3111

Forrest County General Hospital

170 mi

Psychiatry

2117 BROADWAY DR
Hattiesburg, MS 39402

Reassigned Medicare billing, Mississippi enrollment
248 clinicians in this Medicare group

NPI 1275710212 (601) 288-8050

Correct Care, Inc.

209 mi

Emergency Medicine

229 SAINT JOHN LN
Covington, LA 70433

Reassigned Medicare billing, Alabama and Mississippi enrollments
152 clinicians in this Medicare group

NPI 1215987441 (985) 773-1847

Paragon Contracting Services LLC

211 mi

Emergency Medicine

810 SAINT VINCENTS DR
Birmingham, AL 35205

Reassigned Medicare billing, Alabama enrollment
646 clinicians in this Medicare group

NPI 1225071459 (205) 939-7100

Emergency Physicians Medical Center, LLC

257 mi

Urgent Care

9181 NW 39TH AVE
Gainesville, FL 32606

Reassigned Medicare billing, Florida enrollment
14 clinicians in this Medicare group

NPI 1861897480 (352) 872-5111

Paragon Emergency Services LLC

340 mi

Emergency Medicine

200 AVENUE F NE
Winter Haven, FL 33881

Reassigned Medicare billing, Florida enrollment
1,065 clinicians in this Medicare group

NPI 1912101650 (863) 293-1121

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 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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

188 services177 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

181 services173 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

122 services113 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.

83 services82 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.

29 services20 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

26 services22 patients

Hospital Affiliations CMS Care Compare

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

Tyler Holmes Memorial Hospital Cah

Critical Access Hospitals · Winona, MS

OwnershipGovernment - Local

CMS Certification Number251312

Location409 Tyler Holmes DriveWinona, MS 38967 · Montgomery County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32547 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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.

DEANNA RUTH ANDERSON

Dietitian, Registered