DR. RAY DON KELLEY MD
NPI 1780654137
Family Medicine in Wasilla, AK

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
55.84/100
CMS Quality Rating
3066 E MERIDIAN PARK LOOP, WASILLA, AK 99654(907) 357-9590 Get Directions Write a Review

NPPES record last updated: October 13, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ray Don Kelley Md NPPES

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

DR. RAY DON KELLEY MD (NPI 1780654137) is an individual family medicine provider in Wasilla, Alaska, licensed in Alaska (4001) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1996).

NPPES Registry Identity

NPI1780654137
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RAY DON KELLEYCredential: MD
Location Address3066 E MERIDIAN PARK LOOPWasilla, AK 99654-7299
Mailing Address3066 E Meridian Park LoopWasilla, AK 99654-7299 · (907) 357-9590
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1996
Enumeration DateJanuary 26, 2006
Last NPPES UpdateOctober 13, 2011
NPI 1780654137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AK · 4001
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.

3066 E MERIDIAN PARK LOOP, Wasilla, AK 99654

Other Identifiers 1

MedicaidMD9831AK

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. Ray Don Kelley Md 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 ID8123064656
PECOS Enrollment IDI20101213000253
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 19

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.

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.
688 services319 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
259 services48 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
245 services52 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
137 services137 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.
103 services79 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
97 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99654 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

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.

55.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85.1
Promoting Interoperability0
Improvement Activities40
Cost51.05

Referred Medical Equipment & Supplies CMS DME claims 8

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers13 claims13 services$46.15 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers15 claims15 services$74.56 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers13 claims13 services$24.60 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers17 claims102 services$2.23 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.42 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$118.45 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 19

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

Phlebology
3066 E MERIDIAN PARK LOOP
WASILLA, AK 99654
Surgery
3066 E MERIDIAN PARK LOOP
WASILLA, AK 99654
Nurse Practitioner (Family)
3066 E MERIDIAN PARK LOOP
WASILLA, AK 99654
Family Medicine
3066 E MERIDIAN PARK LOOP
WASILLA, AK 99654
Dermatology
3066 E MERIDIAN PARK LOOP
WASILLA, AK 99654
Family Medicine
3066 E MERIDIAN PARK LOOP
WASILLA, AK 99654
Physician Assistant (Medical)
3066 E MERIDIAN PARK LOOP, CAPSTONE URGENT CARE
WASILLA, AK 99654
Clinical Medical Laboratory
3066 E MERIDIAN PARK LOOP
WASILLA, AK 99654

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 Ray Kelley's NPI number?

The NPI number for Ray Kelley is 1780654137. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Ray Kelley located?

Ray Kelley practices at 3066 E Meridian Park Loop, Wasilla, AK 99654. The listed phone number is (907) 357-9590.

What is Ray Kelley's specialty?

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

Is Ray Kelley enrolled in Medicare?

Yes. Ray 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 Ray Kelley accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Ray 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.

When was this NPI record last updated?

The NPPES record for Ray Kelley was last updated on October 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.