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: October 04, 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.

Areas of Expertise CMS Part B claims 15

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, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
7,701 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
232 services138 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
142 services142 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
119 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services47 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
51 services38 patients

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.

Nurse Practitioner
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Nurse Practitioner (Family)
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Family Medicine
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Nurse Practitioner (Family)
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Ophthalmology
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Ophthalmology
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Internal Medicine
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Nurse Practitioner (Family)
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.