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DR. THOMAS ALAN KELLY D.O.
NPI 1629033444
Family Medicine in Eaton Rapids, MI

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
101 E SPICERVILLE HWY, EATON RAPIDS, MI 48827(517) 663-2705 Get Directions Write a Review

NPPES record last updated: March 3, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Thomas Alan Kelly D.o. NPPES

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

DR. THOMAS ALAN KELLY D.O. (NPI 1629033444) is an individual family medicine provider in Eaton Rapids, Michigan, licensed in Michigan (5101008344) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (1981).

NPPES Registry Identity

NPI1629033444
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS ALAN KELLYCredential: D.O.
Location Address101 E SPICERVILLE HWYEaton Rapids, MI 48827-1919
Mailing Address101 E Spicerville HwyEaton Rapids, MI 48827-1919 · (517) 663-2705
Phone(517) 663-2705
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1981
Enumeration DateApril 18, 2006
Last NPPES UpdateMarch 3, 2010
✔ NPI 1629033444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101008344
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 ListedEmergency MedicineTaxonomy 207P00000X · License 5101008344 (MI)
101 E SPICERVILLE HWY, Eaton Rapids, MI 48827
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Other Identifiers 8

Other0100444MI · Php
Other0170444MI · Php Famil Care
OtherM034742MI · Champus
Medicare UPINF03642MI
Medicare ID-Type Unspecified5233008MI
OtherC6121MI · Mcare
Other0152330085MI · Bluecross Blue Shield Pin
Medicaid3319192MI

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Alan Kelly 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 ID9931225273
PECOS Enrollment IDI20100924000009
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

2

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

Thomas A. Kelly D.O. P.C.
Same address
General Practice
101 E SPICERVILLE HWY
Eaton Rapids, MI 48827
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1366689275 (517) 663-2705
Eaton Rapids Medical Center
0.1 mi
Critical Access
1500 S MAIN ST
Eaton Rapids, MI 48827
  • Reassigned Medicare billing, Michigan enrollment
  • 54 clinicians in this Medicare group
NPI 1417044660 (517) 663-2671

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 9

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 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.
546 services133 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
100 services100 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.
66 services52 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
66 services66 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
53 services52 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
29 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Eaton Rapids Medical Center

Critical Access Hospitals · Eaton Rapids, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231324
Location1500 S Main StreetEaton Rapids, MI 48827 · Eaton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48827 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
21%179 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%3,691 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
51%520 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
39%172 patients2/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
99%520 patients4/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
8%520 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
6%520 patients1/55-star benchmark: 75%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
8%520 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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 suppliers30 claims93 services$5.79 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers14 claims14 services$29.59 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$24.01 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 7

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

DR. ASHOK K GUPTA MD
Internal Medicine
101 E SPICERVILLE HWY, STE 300
EATON RAPIDS, MI 48827
Eaton County (517) 663-9469
ASHOK K GUPTA MD PLC
Internal Medicine
101 E SPICERVILLE HWY
EATON RAPIDS, MI 48827
Eaton County (517) 663-9469
KHRISTINA M COKER FNP-C
Nurse Practitioner (Family)
101 E SPICERVILLE HWY
EATON RAPIDS, MI 48827
Eaton County (517) 663-2705
THOMAS A. KELLY D.O. P.C.
General Practice
101 E SPICERVILLE HWY
EATON RAPIDS, MI 48827
Eaton County (517) 663-2705
SUSAN L. COURTNAGE, MD, PC
Internal Medicine
101 E SPICERVILLE HWY, SUITE 100
EATON RAPIDS, MI 48827
Eaton County (517) 663-9798
VICKIE L GREGORY C.N.M., N.P.,R.N.
Nurse Practitioner (Family)
101 E SPICERVILLE HWY
EATON RAPIDS, MI 48827
Eaton County (517) 663-2705
MRS. CYNTHIA ALLISON VARTERASIAN LMSW
Marriage & Family Therapist
101 E SPICERVILLE HWY
EATON RAPIDS, MI 48827
Eaton County (517) 663-9518

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 Thomas Kelly's NPI number?

The NPI number for Thomas Kelly is 1629033444. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Thomas Kelly located?

Thomas Kelly practices at 101 E Spicerville Hwy, Eaton Rapids, MI 48827. The listed phone number is (517) 663-2705.

What is Thomas Kelly's specialty?

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

Is Thomas Kelly enrolled in Medicare?

Yes. Thomas Kelly 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.

Which organizations bill Medicare for Thomas Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Kelly reassigns Medicare benefits to 2 organizations: Thomas A. Kelly D.O. P.C. (Eaton Rapids, MI) and Eaton Rapids Medical Center (Eaton Rapids, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Kelly 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 2 other insurers list Thomas Kelly 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 Thomas Kelly affiliated with any hospitals?

According to CMS data, Thomas Kelly is affiliated with Edward W Sparrow Hospital and Eaton Rapids Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Kelly was last updated on March 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.