KELLY FOUNTAIN M.D.
NPI 1700016359
Radiology - Diagnostic Radiology in Melbourne, FL

Q: What is Kelly Fountain's NPI number?

The NPI number for Kelly Fountain is 1700016359. It was assigned to this individual provider in the NPPES registry on July 16, 2009.

Q: What is Kelly Fountain's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Fountain was last updated on May 10, 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.

Active since July 16, 2009PECOS EnrolledAccepts Medicare Assignment

83.41/100

CMS Quality Rating

1223 GATEWAY DR, MELBOURNE, FL 32901(321) 728-6002 Get Directions Write a Review

NPPES record last updated: May 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2020, Dec 28, 2016 (2 updates tracked since 2016).

On this page

About Kelly Fountain M.d. NPPES

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

KELLY FOUNTAIN M.D. (NPI 1700016359) is an individual diagnostic radiology provider in Melbourne, Florida, licensed in Florida (ME 129581) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2009).

NPPES Registry Identity

NPI1700016359

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameKELLY FOUNTAINCredential: M.D.

Location Address1223 GATEWAY DRMelbourne, FL 32901-2607

Mailing Address4020 Turkey Point DrMelbourne, FL 32934-8584 · (251) 363-1745

Phone(321) 728-6002

Sole ProprietorYes

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2009

Enumeration DateJuly 16, 2009

Last NPPES UpdateMay 10, 20202 updates tracked since enumeration

NPPES CertifiedMay 10, 2020

✔ NPI 1700016359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in FL · ME 129581✔ Licensed in KS · 04-37158✔ Licensed in CO · DR.0057830✔ Licensed in AL · 30719✔ Licensed in MS · 23930

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1223 GATEWAY DR, Melbourne, FL 32901

Open in Google Maps ↗

Other Identifiers 2

OtherMA915FL · Medicare

MedicaidPENDINGFL

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 Fountain 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 ID7315189370

PECOS Enrollment IDI20170203002043

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 18

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.

Injection, gadoteridol, (prohance multipack), per ml A9576

Gadoteridol, found in ProHance Multipack, is a contrast agent used in MRI scans. It's injected into your body to help highlight certain areas, making them easier to see. This can assist in diagnosing various health conditions. It's generally safe with few side effects.

415 services18 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

296 services296 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

295 services295 patients

Screening 3d breast mammography 77063

205 services205 patients

Screening mammography 77067

199 services199 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

90 services88 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

78 services78 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

69 services68 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

67 services64 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

66 services66 patients

Limited ultrasound scan of 1 breast 76642

61 services61 patients

Diagnostic mammography of both breasts 77066

49 services49 patients

Diagnostic mammography of 1 breast 77065

48 services47 patients

Mri scan of both breasts 77049

An MRI scan of both breasts is a non-invasive procedure using magnetic fields and radio waves to create detailed images of your chest area. This aids in detecting any abnormalities, ensuring your health and well-being.

32 services31 patients

Biopsy of breast and placement of locating device using ultrasound, first growth 19083

A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.

26 services26 patients

X-ray of surgical specimen 76098

An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.

16 services15 patients

Other diagnostic imaging procedure 76499

A diagnostic imaging procedure involves using advanced technology to create detailed images of the inside of your body. This can help identify a wide range of health conditions. The procedure is non-invasive, safe, and can include methods like MRI, CT scan, or ultrasound.

13 services13 patients

Biopsy of breast and placement of locating device using x-ray with needle, first growth 19081

A biopsy of the breast involves extracting a small sample of tissue for examination. A locating device placement, guided by x-ray, aids in identifying the exact spot of the first growth. A needle is used in both processes to ensure precision and minimal discomfort.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

83.41/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

42.13

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.

MICHELE ANNE MCCARTHY-LAVISH APRN

Nurse Practitioner (Adult Health)

1223 GATEWAY DR
MELBOURNE, FL 32901

Brevard County (321) 549-0752

JASMINE MONTANEZ APRN

Nurse Practitioner

1223 GATEWAY DR
MELBOURNE, FL 32901

Brevard County (321) 312-3328

SUSAN B BLAUEL AUD

Audiologist

1223 GATEWAY DR
MELBOURNE, FL 32901

Brevard County (321) 984-3885

JASHBHAI K. PATEL M.D.

Surgery

1223 GATEWAY DR, SUITE 2B
MELBOURNE, FL 32901

Brevard County (321) 728-6002

ELIZABETH MARIE AMBROSE

Nurse Practitioner

1223 GATEWAY DR
MELBOURNE, FL 32901

Brevard County (321) 312-3456

TASSCIA M WILLIAMS SOUFFRANT MD

Obstetrics & Gynecology

1223 GATEWAY DR
MELBOURNE, FL 32901

Brevard County (321) 361-5615

ALICE SPINELLI APRN

Nurse Practitioner

1223 GATEWAY DR
MELBOURNE, FL 32901

Brevard County (321) 728-6002

GLORY A BENNETTE ARNP

Nurse Practitioner (Family)

1223 GATEWAY DR
MELBOURNE, FL 32901

Brevard County (321) 725-4505

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 Fountain's NPI number?

The NPI number for Kelly Fountain is 1700016359. It was assigned to this individual provider in the NPPES registry on July 16, 2009.

Where is Kelly Fountain located?

Kelly Fountain practices at 1223 Gateway Dr, Melbourne, FL 32901. The listed phone number is (321) 728-6002.

What is Kelly Fountain's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kelly Fountain enrolled in Medicare?

Yes. Kelly Fountain 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.

When was this NPI record last updated?

The NPPES record for Kelly Fountain was last updated on May 10, 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.