KELLY PAINTER NP
NPI 1699219469
Nurse Practitioner - Family in Gallipolis, OH

Active since December 13, 2016PECOS EnrolledAccepts Medicare Assignment
81.42/100
CMS Quality Rating
100 JACKSON PIKE, GALLIPOLIS, OH 45631(304) 429-1088 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2020, May 11, 2017, Dec 20, 2016 and 1 more (4 updates tracked since 2016).

About Kelly Painter Np NPPES

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

KELLY PAINTER NP (NPI 1699219469) is an individual family provider in Gallipolis, Ohio, licensed in Ohio (APRN.CNP.020324) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and maintains a secondary practice location in Athens.

NPPES Registry Identity

NPI1699219469
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY PAINTERCredential: NP
Location Address100 JACKSON PIKEGallipolis, OH 45631-1560
Mailing AddressPo Box 390Huntington, WV 25708-0390
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 13, 2016
Last NPPES UpdateJuly 13, 20204 updates tracked since enumeration
NPPES CertifiedJuly 13, 2020
NPI 1699219469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.020324
Also ListedHospitalistTaxonomy 208M00000X · License CNP020324 (OH)
100 JACKSON PIKE, Gallipolis, OH 45631

Secondary Practice Location 1

Location 155 Hospital DrAthens, OH 45701-2302 · Phone (740) 592-9349

Other Identifiers 2

Medicaid1699219469WV
Medicaid0203490OH

Accepted 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

Kelly Painter Np 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 ID2264716380
PECOS Enrollment IDI20170308001678
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
173 services85 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
47 services46 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
41 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
29 services14 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
20 services20 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360054
Location100 Jackson PikeGallipolis, OH 45631 · Gallia County
Emergency services Birthing friendly

Holzer Medical Center Jackson

Critical Access Hospitals · Jackson, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361320
Location500 Burlington RoadJackson, OH 45640 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45631 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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.

81.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.28
Promoting Interoperability100
Improvement Activities40
Cost57.96

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
2 suppliers17 claims17 services$18.82 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
2 suppliers21 claims21 services$108.02 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 20

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

Nurse Anesthetist, Certified Registered
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Emergency Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Orthopaedic Surgery
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Nurse Practitioner
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Audiologist
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Nurse Practitioner (Family)
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Internal Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Pediatrics
100 JACKSON PIKE
GALLIPOLIS, OH 45631

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 Kelly Painter's NPI number?

The NPI number for Kelly Painter is 1699219469. It was assigned to this individual provider in the NPPES registry on December 13, 2016.

Where is Kelly Painter located?

Kelly Painter practices at 100 Jackson Pike, Gallipolis, OH 45631. The listed phone number is (304) 429-1088.

What is Kelly Painter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Painter enrolled in Medicare?

Yes. Kelly Painter 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 Kelly Painter accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and Highmark Blue Cross Blue Shield West Virginia list Kelly Painter 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 Kelly Painter affiliated with any hospitals?

According to CMS data, Kelly Painter is affiliated with Holzer Medical Center and Holzer Medical Center Jackson.

When was this NPI record last updated?

The NPPES record for Kelly Painter was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.