DR. JEFFREY JOHN KELLY D.O.
NPI 1770565384
Dermatology in Traverse City, MI

Q: What is Jeffrey Kelly's NPI number?

The NPI number for Jeffrey Kelly is 1770565384. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Q: What is Jeffrey Kelly's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Kelly was last updated on July 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 November 18, 2005PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

3643 W FRONT ST, SUITE A, TRAVERSE CITY, MI 49684(231) 935-0620(231) 935-0626 Get Directions Write a Review

NPPES record last updated: July 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jeffrey John Kelly D.o. NPPES

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

DR. JEFFREY JOHN KELLY D.O. (NPI 1770565384) is an individual dermatology provider in Traverse City, Michigan, licensed in Michigan (5101020217) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1770565384

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameDR. JEFFREY JOHN KELLYCredential: D.O.

Location Address3643 W FRONT ST, SUITE ATraverse City, MI 49684-7759

Mailing Address3643 W Front St, Suite ATraverse City, MI 49684-7759 · (231) 935-0620 · Fax (231) 935-0626

Phone(231) 935-0620

Fax(231) 935-0626

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateNovember 18, 2005

Last NPPES UpdateJuly 24, 2013

✔ NPI 1770565384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Licenses✔ Licensed in MI · 5101020217✔ Licensed in GA · 055534

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

3643 W FRONT ST, Traverse City, MI 49684

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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. Jeffrey John Kelly D.o. 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 ID42451684

PECOS Enrollment IDI20130724000909

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 17

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,686 services303 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.

887 services687 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

479 services404 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

154 services146 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

117 services117 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

63 services60 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

63 services58 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.

61 services44 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

53 services45 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

45 services39 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

38 services29 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

28 services26 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052

This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.

19 services19 patients

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11642

This procedure involves the surgical removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 1.1-2.0 cm in size. This is done to prevent the cancer from spreading and to restore health.

17 services17 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

14 services13 patients

Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm 17261

This procedure involves the removal of a cancerous skin growth on the trunk, arms, or legs that is between 0.6 and 1.0 cm in size. The goal is to eliminate the cancerous cells and prevent further spread. The method of destruction may vary, including methods such as surgery, laser, or cryotherapy.

14 services13 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230097

Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

95.5/100

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

Individually scored

Quality

100

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%2,478 patients5/55-star benchmark: 100%

Controlling High Blood Pressure

80%35 patients4/55-star benchmark: 98%

Melanoma: Continuity of Care - Recall System

100%363 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 98% · 1,054 patients

Patients screened: 98% · 1,054 patients

100%276 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

64%1,650 patients2/55-star benchmark: 100%

Psoriasis: Clinical Response to Systemic Medications

100%74 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

DR. ROBERT E KUHN D.O.

Internal Medicine

3643 W FRONT ST, SUITE C
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0614

DR. WALTER K MEEKER M.D.

Internal Medicine

3643 W FRONT ST, SUITE C
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0614

DR. JOHN J GORMAN M.D.

Internal Medicine

3643 W FRONT ST, SUITE C
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0614

NORTHERN MICHIGAN MEDICINE AND PEDIATRICS, PLLC

Pediatrics

3643 W FRONT ST, SUITE C
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0614

MARY BONNIE SMITH C.P.N.P.

Nurse Practitioner (Pediatrics)

3643 W FRONT ST, SUITE C
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0614

MRS. AMY LYNN REAM AT.,C

Specialist/Technologist (Athletic Trainer)

3643 W FRONT ST, SUITE B
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0590

CURT JEFFREY SCHUBERT M.D.

Pediatrics

3643 W FRONT ST, SUITE C
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0614

ASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY PC

Dermatology (Dermatopathology)

3643 W FRONT ST
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-0625

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 Jeffrey Kelly's NPI number?

The NPI number for Jeffrey Kelly is 1770565384. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Jeffrey Kelly located?

Jeffrey Kelly practices at 3643 W Front St Suite A, Traverse City, MI 49684. The listed phone number is (231) 935-0620.

What is Jeffrey Kelly's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jeffrey Kelly enrolled in Medicare?

Yes. Jeffrey 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.

What insurance does Jeffrey Kelly accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jeffrey 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.

Is Jeffrey Kelly affiliated with any hospitals?

According to CMS data, Jeffrey Kelly is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Kelly was last updated on July 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.