DR. KELLY LYNNE KILLEEN M.D. - NPI 1699807065 - Plastic Surgery in Beverly Hills, CA

Q: What is Kelly Killeen's NPI number?

The NPI number for Kelly Killeen is 1699807065. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Q: What is Kelly Killeen's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: Is Kelly Killeen enrolled in Medicare?

No. Kelly Killeen has opted out of Medicare through April 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kelly Killeen was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Kelly Lynne Killeen M.d. NPPES

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

DR. KELLY LYNNE KILLEEN M.D. (NPI 1699807065) is an individual plastic surgery provider in Beverly Hills, California, licensed in California (A92060) and active in the NPI registry since March 2007. She has opted out of Medicare through April 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1699807065

Entity TypeIndividualFemale

Primary Taxonomy208200000X

Provider Legal NameDR. KELLY LYNNE KILLEENCredential: M.D.

Location Address436 N BEDFORD DR STE 103Beverly Hills, CA 90210-4323

Mailing Address436 N Bedford Dr Ste 103Beverly Hills, CA 90210-4323 · (310) 278-8200 · Fax (310) 278-8230

Phone(310) 278-8200

Fax(310) 278-8230

Sole ProprietorNo

Enumeration DateMarch 12, 2007

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1699807065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in CA · A92060

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

436 N BEDFORD DR STE 103, Beverly Hills, CA 90210

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kelly Lynne Killeen M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 26, 2019 through April 26, 2027.

Opt-Out Effective DateApril 26, 2019

Opt-Out In Effect ThroughApril 26, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90210 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

Other Providers at the Same Location NPPES 8

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

LISA B CASSILETH, MD, INC

Surgery (Plastic and Reconstructive Surgery)