DR. MARY ALLEGRA KELLEY DO
NPI 1720646862
Psychiatry & Neurology - Neurology in Bend, OR

Active since June 04, 2019PECOS EnrolledAccepts Medicare Assignment
1501 NE MEDICAL CENTER DR, BEND, OR 97701(541) 382-4900 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mary Allegra Kelley Do NPPES

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

DR. MARY ALLEGRA KELLEY DO (NPI 1720646862) is an individual neurology provider in Bend, Oregon, licensed in Oregon (DO212875) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and maintains a secondary practice location in Austin.

NPPES Registry Identity

NPI1720646862
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MARY ALLEGRA KELLEYCredential: DO
Location Address1501 NE MEDICAL CENTER DRBend, OR 97701-6099
Mailing AddressPo Box 6048Bend, OR 97708-6048 · (541) 382-4900
Sole ProprietorNo
Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2019
Enumeration DateJune 4, 2019
Last NPPES UpdateSeptember 15, 2023
NPPES CertifiedSeptember 15, 2023
NPI 1720646862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in OR · DO212875
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10067289 (TX)
1501 NE MEDICAL CENTER DR, Bend, OR 97701

Secondary Practice Location 1

Location 11400 IH-35, CEC 300Austin, TX 78701-7890 · Phone (512) 324-7890

Other Identifiers 1

Medicaid500820545OR

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

Dr. Mary Allegra Kelley Do 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 ID1052778552
PECOS Enrollment IDI20230526000958
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.

Hospital Affiliations CMS Care Compare

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

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97701 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

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.

Internal Medicine (Cardiovascular Disease)
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Specialist
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Specialist
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Specialist
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Specialist
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Specialist
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Nurse Practitioner (Gerontology)
1501 NE MEDICAL CENTER DR, RM 315
BEND, OR 97701
Family Medicine
1501 NE MEDICAL CENTER DR
BEND, OR 97701

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 Mary Kelley's NPI number?

The NPI number for Mary Kelley is 1720646862. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Mary Kelley located?

Mary Kelley practices at 1501 NE Medical Center Dr, Bend, OR 97701. The listed phone number is (541) 382-4900.

What is Mary Kelley's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mary Kelley enrolled in Medicare?

Yes. Mary Kelley 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 Mary Kelley accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Mary Kelley 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 Mary Kelley affiliated with any hospitals?

According to CMS data, Mary Kelley is affiliated with St Charles Medical Center - Bend.

When was this NPI record last updated?

The NPPES record for Mary Kelley was last updated on September 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.