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DR. TIMOTHY J KELLY M.D.
NPI 1689731085
Otolaryngology in Rock Hill, SC

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
200 S HERLONG AVE, SUITE A, ROCK HILL, SC 29732(803) 328-1864(803) 328-1865 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2021, May 3, 2018 (2 updates tracked since 2018).

About Dr. Timothy J Kelly M.d. NPPES

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

DR. TIMOTHY J KELLY M.D. (NPI 1689731085) is an individual otolaryngology provider in Rock Hill, South Carolina, licensed in South Carolina (30274) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and is a graduate of University Of Michigan Medical School (1987).

NPPES Registry Identity

NPI1689731085
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. TIMOTHY J KELLYCredential: M.D.
Location Address200 S HERLONG AVE, SUITE ARock Hill, SC 29732-3399
Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000 · Fax (704) 295-3468
Phone(803) 328-1864
Fax(803) 328-1865
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1987
Enumeration DateJanuary 3, 2007
Last NPPES UpdateApril 26, 20212 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
✔ NPI 1689731085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in SC · 30274
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
200 S HERLONG AVE, Rock Hill, SC 29732
Open in Google Maps ↗

Other Identifiers 4

OtherP01505878SC · Railroad Medicare
Medicaid302746SC
OtherAA21828218SC · Medicare
Other1506232Coventry

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, AmeriHealth Caritas Next 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

Dr. Timothy J Kelly M.d. 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 ID7416991005
PECOS Enrollment IDI20071008000298, I20131022000622
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 10

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 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.
359 services280 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.
133 services107 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
90 services76 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
89 services89 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
77 services71 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
74 services67 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420002
Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29732 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

DR. BRIAN MIKA MD
Psychiatry & Neurology (Psychiatry)
200 S HERLONG AVE, SUITE C
ROCK HILL, SC 29732
York County (803) 323-2775
ALLAN S. RYDER-COOK M.D.
Psychiatry & Neurology (Neurology)
200 S HERLONG AVE, SUITE H
ROCK HILL, SC 29732
York County (803) 366-6135
DR. CHAD S KESSLER MD
Otolaryngology
200 S HERLONG AVE, SUITE A
ROCK HILL, SC 29732
York County (803) 328-1864
PIEDMONT BEHAVIORAL MEDICINE ASSOCIATES, LLC
Behavior Analyst
200 S HERLONG AVE, SUITE C
ROCK HILL, SC 29732
York County (803) 323-2775
PMC PHYSICIAN NETWORK, L.L.C.
Neurological Surgery
200 S HERLONG AVE, SUITE B
ROCK HILL, SC 29732
York County (803) 327-8500
MARK A. PORTER M.D.
Psychiatry & Neurology (Neurology)
200 S HERLONG AVE, SUITE H
ROCK HILL, SC 29732
York County (803) 366-6135
KIM THIEN NGUYEN HO AU.D.
Audiologist
200 S HERLONG AVE, SUITE A
ROCK HILL, SC 29732
York County (803) 328-1864
DR. SARAH ELIZABETH VAIR AUD
Audiologist
200 S HERLONG AVE, SUITE A
ROCK HILL, SC 29732
York County (803) 328-1864

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 Timothy Kelly's NPI number?

The NPI number for Timothy Kelly is 1689731085. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Timothy Kelly located?

Timothy Kelly practices at 200 S Herlong Ave Suite A, Rock Hill, SC 29732. The listed phone number is (803) 328-1864.

What is Timothy Kelly's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Timothy Kelly enrolled in Medicare?

Yes. Timothy 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 Timothy Kelly accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, AmeriHealth Caritas Next, BlueCross BlueShield of South Carolina and InStil Health and 2 other insurers list Timothy 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 Timothy Kelly affiliated with any hospitals?

According to CMS data, Timothy Kelly is affiliated with Atrium Health Pineville and Piedmont Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Kelly was last updated on April 26, 2021. 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.