TIMOTHY KELLEY M.D.
NPI 1790148245
Orthopaedic Surgery - Sports Medicine in Brattleboro, VT

Q: What is Timothy Kelley's NPI number?

The NPI number for Timothy Kelley is 1790148245. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Q: What is Timothy Kelley's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Kelley was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 01, 2016PECOS EnrolledAccepts Medicare Assignment

17 BELMONT AVE STE 1, BRATTLEBORO, VT 05301(025) 251-8611(802) 251-8419 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2022, Jun 13, 2016, Apr 1, 2016 (3 updates tracked since 2016).

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About Timothy Kelley M.d. NPPES

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

TIMOTHY KELLEY M.D. (NPI 1790148245) is an individual sports medicine provider in Brattleboro, Vermont, licensed in Vermont (042.0016062) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Cheshire Medical Center, and is a graduate of University Of Massachusetts Medical School (2021).

NPPES Registry Identity

NPI1790148245

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameTIMOTHY KELLEYCredential: M.D.

Location Address17 BELMONT AVE STE 1Brattleboro, VT 05301-3498

Mailing Address17 Belmont AveBrattleboro, VT 05301-7601 · (802) 251-8611

Phone(025) 251-8611

Fax(802) 251-8419

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2021

Enumeration DateApril 1, 2016

Last NPPES UpdateSeptember 20, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2022

✔ NPI 1790148245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in VT · 042.0016062

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

17 BELMONT AVE STE 1, Brattleboro, VT 05301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy Kelley M.d. 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 ID7719270982

PECOS Enrollment IDI20221014000440

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.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brattleboro Memorial Hospital

Same address

General Acute Care Hospital

17 BELMONT AVE
Brattleboro, VT 05301

Reassigned Medicare billing, Vermont enrollment
101 clinicians in this Medicare group

NPI 1306849708 (802) 257-0341

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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 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.

200 services140 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.

101 services85 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

80 services63 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.

64 services64 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

43 services43 patients

Computer-assisted surgery for muscle and bone procedure 20985

Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Cheshire Medical Center

Acute Care Hospitals · Keene, NH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300019

Location580 Court StreetKeene, NH 03431 · Cheshire County

Emergency services Birthing friendly

Brattleboro Memorial Hospital

Acute Care Hospitals · Brattleboro, VT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number470011

Location17 Belmont AveBrattleboro, VT 05301 · Windham County

Emergency services Birthing friendly

Grace Cottage Hospital

Critical Access Hospitals · Townshend, VT

OwnershipVoluntary non-profit - Private

CMS Certification Number471300

LocationPO Box 216Townshend, VT 05353 · Windham County

Emergency services

Other Providers at the Same Location NPPES 11

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

DR. AIDA AVDIC MD

Internal Medicine