DEREK M KELLY MD
NPI 1649499971
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Collierville, TN

Q: What is Derek Kelly's NPI number?

The NPI number for Derek Kelly is 1649499971. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Q: What is Derek Kelly's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Q: When was this NPI record last updated?

The NPPES record for Derek Kelly was last updated on October 7, 2022. 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.

Active since April 25, 2007PECOS EnrolledAccepts Medicare Assignment

74.96/100

CMS Quality Rating

1458 W POPLAR AVE, SUITE 100, COLLIERVILLE, TN 38017(901) 759-3100(901) 759-3196 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2022, May 1, 2018, Mar 20, 2017 (3 updates tracked since 2017).

On this page

About Derek M Kelly Md NPPES

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

DEREK M KELLY MD (NPI 1649499971) is an individual pediatric orthopaedic surgery provider in Collierville, Tennessee, licensed in Tennessee (43223) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Arkansas College Of Medicine (2002).

NPPES Registry Identity

NPI1649499971

Entity TypeIndividualMale

Primary Taxonomy207XP3100X

Provider Legal NameDEREK M KELLYCredential: MD

Location Address1458 W POPLAR AVE, SUITE 100Collierville, TN 38017-0630

Mailing Address1400 S Germantown RdGermantown, TN 38138-2205 · (901) 759-3100 · Fax (901) 759-3196

Phone(901) 759-3100

Fax(901) 759-3196

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2002

Enumeration DateApril 25, 2007

Last NPPES UpdateOctober 7, 20223 updates tracked since enumeration

NPPES CertifiedOctober 7, 2022

✔ NPI 1649499971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XP3100X

License✔ Licensed in TN · 43223

Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

1458 W POPLAR AVE, Collierville, TN 38017

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Secondary Practice Locations 4

Location 11400 S Germantown RdGermantown, TN 38138-2205 · Phone (901) 759-3100

Location 27545 Airways BlvdSouthaven, MS 38671-5806 · Phone (901) 759-3100

Location 31211 Union Ave Ste 500Memphis, TN 38104-6656 · Phone (901) 759-3100

Location 48000 Centerview Pkwy Ste 500Cordova, TN 38018-4254 · Phone (901) 759-3100

Other Identifiers 5

Medicaid174871001AR

Medicaid100169565MS

Medicaid008850343MS

Medicaid1508536TN

Medicaid04951036MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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

Derek M Kelly 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 ID143394478

PECOS Enrollment IDI20080805000673, I20081001000367

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 12

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

1,290 services499 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

1,067 services403 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

885 services401 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

489 services249 patients

Training for self-care or home management, each 15 minutes 97535

This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.

297 services200 patients

Application of blood vessel compression device 97016

A blood vessel compression device is applied to control bleeding and promote clotting after a procedure. This device applies pressure to your blood vessels, reducing the chance of excessive bleeding. It's a safe, standard part of many medical procedures.

204 services89 patients

Evaluation for physical therapy, typically 30 minutes 97162

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

136 services131 patients

Evaluation for physical therapy, typically 20 minutes 97161

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

46 services46 patients

Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283

Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.

42 services31 patients

Therapy procedure for walking training, each 15 minutes 97116

Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.

39 services32 patients

Application of hot wax bath 97018

A hot wax bath, also known as paraffin wax treatment, is a therapy often used for pain relief in your hands, feet, or other areas. The warm wax helps increase blood flow, relax muscles, and reduce stiffness in joints. It's completely safe and can be especially beneficial for those with arthritis or other similar conditions.

24 services13 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.

16 services15 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.

74.96/100

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

Scored as part of a group practice

Quality

64.72

Promoting Interoperability

Improvement Activities

Cost

60.14

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.

MRS. KAREN LEMAR SIEGFRIED ATC/L

Specialist/Technologist (Athletic Trainer)

1458 W POPLAR AVE, SUITE 100
COLLIERVILLE, TN 38017

Shelby County (901) 759-5491

DR. MICHAEL S. TANKERSLEY MD

Allergy & Immunology

1458 W POPLAR AVE, STE 205
COLLIERVILLE, TN 38017

Shelby County (901) 335-8966

NATALIE WYATT AU.D., FAAA, CCC-A

Audiologist

1458 W POPLAR AVE, SUITE 204
COLLIERVILLE, TN 38017

Shelby County (901) 755-5300

MRS. MARY ANN H BRYAN PT, DPT

Physical Therapist

1458 W POPLAR AVE, SUITE 100
COLLIERVILLE, TN 38017

Shelby County (901) 759-5491

JARA BEST JONES M.D.

Pediatrics

1458 W POPLAR AVE, SUITE 201
COLLIERVILLE, TN 38017

Shelby County (901) 457-2880

ELIZABETH SHEA CROSS

Physical Therapist

1458 W POPLAR AVE, SUITE 200
COLLIERVILLE, TN 38017

Shelby County (901) 850-1150

MR. MICHAEL WESLEY DUCKWORTH PT

Physical Therapist (Orthopedic)

1458 W POPLAR AVE
COLLIERVILLE, TN 38017

Shelby County (901) 759-5491

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 Derek Kelly's NPI number?

The NPI number for Derek Kelly is 1649499971. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Derek Kelly located?

Derek Kelly practices at 1458 W Poplar Ave Suite 100, Collierville, TN 38017. The listed phone number is (901) 759-3100.

What is Derek Kelly's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Derek Kelly enrolled in Medicare?

Yes. Derek 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.

What insurance does Derek Kelly accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 7 other insurers list Derek 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.

When was this NPI record last updated?

The NPPES record for Derek Kelly was last updated on October 7, 2022. 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.