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KEVIN GERARD KELLY
NPI 1710972385
Family Medicine in Russellville, AL

Active since September 20, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 01D0871507 · Certificate of Compliance
13150 HIGHWAY 43, SUITE 10, RUSSELLVILLE, AL 35653(256) 332-5901(256) 332-6911 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Gerard Kelly NPPES

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

KEVIN GERARD KELLY (NPI 1710972385) is an individual family medicine provider in Russellville, Alabama, licensed in Alabama (8497) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through April 21, 2028, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1710972385
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEVIN GERARD KELLY
Location Address13150 HIGHWAY 43, SUITE 10Russellville, AL 35653-4558
Mailing Address13150 Highway 43, Suite 10Russellville, AL 35653-4558 · (256) 332-5901 · Fax (256) 332-6911
Phone(256) 332-5901
Fax(256) 332-6911
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateSeptember 20, 2005
Last NPPES UpdateMarch 28, 2014
✔ NPI 1710972385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 8497
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

13150 HIGHWAY 43, Russellville, AL 35653
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Other Identifiers 3

Medicaid000001253AL
Medicare ID-Type Unspecified01253AL
Medicare UPINC70170

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama 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

Kevin Gerard Kelly 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 ID5294837415
PECOS Enrollment IDI20110201000502
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 01D0871507

Kevin G Kelly MD · Russellville, AL
Active · expires Apr 21, 2028
CLIA Number01D0871507
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorKevin G. Kelly
Laboratory Phone(256) 332-5901
Laboratory LocationKevin G Kelly MD13150 Hwy 43 South Suite 10, Russellville, AL 35653
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35653 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers35 claims114 services$5.69 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers20 claims38 services$1.01 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier13 claims120 services$18.84 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
3 suppliers37 claims1,078 services$7.35 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers15 claims5,868 services$0.45 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
3 suppliers22 claims9,966 services$0.83 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 11

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

RUSSELLVILLE MUSCULOSKELETAL CENTER INC.
Orthopaedic Surgery
13150 HIGHWAY 43, SUITE 12
RUSSELLVILLE, AL 35653
Franklin County (256) 332-6215
JENA WILLIAMS HAMM CRNP
Nurse Practitioner (Family)
13150 HIGHWAY 43, STE 10
RUSSELLVILLE, AL 35653
Franklin County (256) 331-2092
FREDS STORES OF TENNESSEE INC
Pharmacy (Community/Retail Pharmacy)
13150 HIGHWAY 43
RUSSELLVILLE, AL 35653
Franklin County (256) 331-5031
NATALINE EVELYN PENNINGTON CRNP
Nurse Practitioner (Family)
13150 HIGHWAY 43, SUITE 10
RUSSELLVILLE, AL 35653
Franklin County (256) 331-2092
RUSSELLVILLE DIAGNOSTICS CENTER, LLC
Radiology (Diagnostic Radiology)
13150 HIGHWAY 43, SUITE 11
RUSSELLVILLE, AL 35653
Franklin County (256) 332-1996
URGENT CARE OF RUSSELLVILLE, LLC
Durable Medical Equipment & Medical Supplies
13150 HIGHWAY 43, SUITE 10
RUSSELLVILLE, AL 35653
Franklin County (256) 331-2092
NORTHWEST SLEEP CENTER PC
Clinic/Center (Sleep Disorder Diagnostic)
13150 HIGHWAY 43, SUITE 13
RUSSELLVILLE, AL 35653
Franklin County (256) 332-6363
KEVIN G. KELLY, M.D.
Family Medicine
13150 HIGHWAY 43, SUITE 10
RUSSELLVILLE, AL 35653
Franklin County (256) 332-5901

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 Kevin Kelly's NPI number?

The NPI number for Kevin Kelly is 1710972385. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Kevin Kelly located?

Kevin Kelly practices at 13150 Highway 43 Suite 10, Russellville, AL 35653. The listed phone number is (256) 332-5901.

What is Kevin Kelly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Kelly enrolled in Medicare?

Yes. Kevin 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.

Does Kevin Kelly hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 01D0871507) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kevin Kelly accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Kevin 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.

When was this NPI record last updated?

The NPPES record for Kevin Kelly was last updated on March 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.