DR. PETER H KELLY MD
NPI 1669447850
Surgery in Saint Paul, MN

Q: What is Peter Kelly's NPI number?

The NPI number for Peter Kelly is 1669447850. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Q: What is Peter Kelly's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Kelly was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 21, 2006PECOS Enrolled

87.63/100

CMS Quality Rating

310 SMITH AVE N, SAINT PAUL, MN 55102(952) 843-4333(952) 843-4301 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Peter H Kelly Md NPPES

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

DR. PETER H KELLY MD (NPI 1669447850) is an individual surgery provider in Saint Paul, Minnesota, licensed in Minnesota (29590) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669447850

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. PETER H KELLYCredential: MD

Location Address310 SMITH AVE NSaint Paul, MN 55102-2393

Mailing Address310 Smith Ave NSaint Paul, MN 55102-2383 · (952) 843-4333 · Fax (952) 843-4301

Phone(952) 843-4333

Fax(952) 843-4301

Sole ProprietorNo

Enumeration DateFebruary 21, 2006

Last NPPES UpdateNovember 23, 2020

NPPES CertifiedNovember 23, 2020

✔ NPI 1669447850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MN · 29590

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSpecialistTaxonomy 174400000X · License 29590 (MN)

310 SMITH AVE N, Saint Paul, MN 55102

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Other Identifiers 1

Medicaid392777600MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter H Kelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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.

87.63/100

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

Scored as part of a group practice

Quality

83.78

Promoting Interoperability

100

Improvement Activities

Cost

71.59

Other Providers at the Same Location NPPES 15

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

DAVID J ZALESKE MD

Orthopaedic Surgery

310 SMITH AVE N, SUITE 120, CHILDRENS SPECIALTY CLINIC-ORTHOPAEDICS-STPL
SAINT PAUL, MN 55102

Ramsey County (651) 220-5705

DR. WILLIAM M RUPP MD

Specialist

310 SMITH AVE N
SAINT PAUL, MN 55102

Ramsey County (952) 843-4333

DR. DIANE S OGREN MD

Surgery

310 SMITH AVE N
SAINT PAUL, MN 55102

Ramsey County (952) 843-4333

BARIATRIC SPECIALISTS OF MINNESOTA

Specialist

310 SMITH AVE N
SAINT PAUL, MN 55102

Ramsey County (651) 227-6351

DR. LEV LOTMAN M.D.

Psychiatry & Neurology (Vascular Neurology)

310 SMITH AVE N
SAINT PAUL, MN 55102

Ramsey County (651) 241-6550

MINNESOTA ONCOLOGY HEMATOLOGY, PA

Nurse Practitioner (Adult Health)

310 SMITH AVE N, SUITE 460
SAINT PAUL, MN 55102

Ramsey County (651) 602-5200

MINNESOTA ONCOLOGY HEMATOLOGY, PA

Radiology (Radiation Oncology)

310 SMITH AVE N, SUITE 480
SAINT PAUL, MN 55102

Ramsey County (651) 602-5200

MS. ANITRA L JACKSON NP

Registered Nurse (Medical-Surgical)

310 SMITH AVE N
SAINT PAUL, MN 55102

Ramsey County (952) 843-4333

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 Peter Kelly's NPI number?

The NPI number for Peter Kelly is 1669447850. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Peter Kelly located?

Peter Kelly practices at 310 Smith Ave N, Saint Paul, MN 55102. The listed phone number is (952) 843-4333.

What is Peter Kelly's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Peter Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Peter Kelly was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.