KELLY FORD MD
NPI 1760826788
Radiology - Diagnostic Radiology in Fort Worth, TX

Active since April 21, 2013PECOS Enrolled
92.3/100
CMS Quality Rating
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 321-0404 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2024, Jun 28, 2024, May 30, 2019 (3 updates tracked since 2019).

About Kelly Ford Md NPPES

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

KELLY FORD MD (NPI 1760826788) is an individual diagnostic radiology provider in Fort Worth, Texas, licensed in Texas (U8976) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1760826788
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameKELLY FORDCredential: MD
Location Address815 PENNSYLVANIA AVEFort Worth, TX 76104-2224
Mailing Address816 W Cannon StFort Worth, TX 76104-3146 · (817) 321-0404
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 21, 2013
Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
NPI 1760826788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in TX · U8976 Licensed in MS · 25927 Licensed in TN · 56815
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 25927 (MS), 56815 (TN)
815 PENNSYLVANIA AVE, Fort Worth, TX 76104

Other Names 1

Former Name (1)Kelly Wagner Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Ford Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698912400
PECOS Enrollment IDI20240722001277
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 16

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.

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.
426 services426 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.
424 services424 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.
183 services183 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
155 services153 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.
107 services107 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.
106 services103 patients

Hospital Affiliations CMS Care Compare 4

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

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Texas Health Arlington Memorial Hospital

Acute Care Hospitals · Arlington, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450064
Location800 W Randol Mill RdArlington, TX 76012 · Tarrant County
Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Southwest F

Acute Care Hospitals · Fort Worth, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450779
Location6100 Harris PkwyFort Worth, TX 76132 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

92.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.66
Improvement Activities40
Cost95.12

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.

Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104

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 Ford's NPI number?

The NPI number for Kelly Ford is 1760826788. It was assigned to this individual provider in the NPPES registry on April 21, 2013. The provider is also known as Kelly Wagner MD.

Where is Kelly Ford located?

Kelly Ford practices at 815 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 321-0404.

What is Kelly Ford's specialty?

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

Is Kelly Ford enrolled in Medicare?

Yes. Kelly Ford is registered in the Medicare PECOS enrollment system.

Is Kelly Ford affiliated with any hospitals?

According to CMS data, Kelly Ford is affiliated with Jps Health Network, Texas Health Arlington Memorial Hospital, Texas Health Harris Methodist Hospital Fort Worth and Texas Health Harris Methodist Hospital Southwest F.

When was this NPI record last updated?

The NPPES record for Kelly Ford was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.