ERIKA W KELLY DO
NPI 1679934558
Internal Medicine in Russell Springs, KY

Q: What is Erika Kelly's NPI number?

The NPI number for Erika Kelly is 1679934558. It was assigned to this individual provider in the NPPES registry on March 18, 2016.

Q: What is Erika Kelly's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Erika Kelly was last updated on July 18, 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.

Active since March 18, 2016PECOS EnrolledAccepts Medicare Assignment

96.68/100

CMS Quality Rating

404 STEVE DRIVE, RUSSELL SPRINGS, KY 42642(270) 866-3161(270) 866-3163 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2023, Jan 22, 2019, Mar 18, 2016 (3 updates tracked since 2016).

On this page

About Erika W Kelly Do NPPES

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

ERIKA W KELLY DO (NPI 1679934558) is an individual internal medicine provider in Russell Springs, Kentucky, licensed in Kentucky (04297) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and is a graduate of Lincoln Memorial University Medical Department (2016).

NPPES Registry Identity

NPI1679934558

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameERIKA W KELLYCredential: DO

Location Address404 STEVE DRIVERussell Springs, KY 42642-4622

Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 858-6655 · Fax (270) 858-4607

Phone(270) 866-3161

Fax(270) 866-3163

Sole ProprietorNo

Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2016

Enumeration DateMarch 18, 2016

Last NPPES UpdateJuly 18, 20233 updates tracked since enumeration

NPPES CertifiedJuly 18, 2023

✔ NPI 1679934558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · 04297

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

404 STEVE DRIVE, Russell Springs, KY 42642

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Other Identifiers 2

Other14562084Caqh

Medicaid7100584270KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.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

Erika W 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 ID2264777960

PECOS Enrollment IDI20181228000983

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 Erika Kelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cumberland Family Medical Center Inc

0.1 mi

Federally Qualified Health Center (FQHC)

404 STEVE DR
Russell Springs, KY 42642

Reassigned Medicare billing, Kentucky enrollment
276 clinicians in this Medicare group

NPI 1437483815 (270) 866-3161

Apogee Medical Group Kentucky Psc

54 mi

General Practice

1 TRILLIUM WAY, SUITE 5
Corbin, KY 40701

Reassigned Medicare billing, Kentucky enrollment
93 clinicians in this Medicare group

NPI 1356503114 (606) 528-1212

Cogent Healthcare Of Kentucky, Psc

73 mi

Internal Medicine

1 SAINT JOSEPH DR
Lexington, KY 40504

Reassigned Medicare billing, Kentucky enrollment
236 clinicians in this Medicare group

NPI 1053362293 (859) 313-1000

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 2

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

34 services28 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY

2/5 CMS rating

OwnershipProprietary

CMS Certification Number180132

Location305 Langdon StreetSomerset, KY 42503 · Pulaski County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42642 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

96.68/100

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

Scored through an Alternative Payment Model

Quality

83.69

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers41 claims41 services$20.25 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers41 claims41 services$114.46 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.

MUSA MAWANDA APRN

Nurse Practitioner (Family)