DR. KRISTINE KELLEY M.D.
NPI 1811968621
Surgery in Scranton, PA

Q: What is Kristine Kelley's NPI number?

The NPI number for Kristine Kelley is 1811968621. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Q: What is Kristine Kelley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Kristine Kelley was last updated on January 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 January 30, 2006PECOS Enrolled

225 PENN AVE, SCRANTON, PA 18503(570) 342-7864(570) 342-7119 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Kristine Kelley M.d. NPPES

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

DR. KRISTINE KELLEY M.D. (NPI 1811968621) is an individual surgery provider in Scranton, Pennsylvania, licensed in Pennsylvania (MD032146E) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Scranton.

NPPES Registry Identity

NPI1811968621

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. KRISTINE KELLEYCredential: M.D.

Location Address225 PENN AVEScranton, PA 18503-1921

Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699

Phone(570) 342-7864

Fax(570) 342-7119

Sole ProprietorNo

Enumeration DateJanuary 30, 2006

Last NPPES UpdateJanuary 20, 2022

NPPES CertifiedJanuary 20, 2022

✔ NPI 1811968621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in PA · MD032146E

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedLegal MedicineTaxonomy 173000000X · License MD-032146-E (PA)

225 PENN AVE, Scranton, PA 18503

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Secondary Practice Location 1

Location 1300 Lackawanna Ave Ste 200Scranton, PA 18503-2001 · Phone (570) 342-7864 · Fax (570) 840-2987

Other Identifiers 1

Medicaid0011243520001PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kristine Kelley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kristine Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Delta Medix PC

0.2 mi

Legal Medicine

300 LACKAWANNA AVE
Scranton, PA 18503

Reassigned Medicare billing, Pennsylvania enrollment
58 clinicians in this Medicare group

NPI 1396701876 (570) 342-7864

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18503 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000

DME-Orthotic Devices · category DF000N

4 suppliers14 claims53 services$29.30 avg. paid by Medicare

Breast prosthesis, silicone or equal, without integral adhesive L8030

DME-Orthotic Devices · category DF000N

3 suppliers11 claims12 services$268.49 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 3

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

DR. JAMES J. ROCHE M.D.

Surgery

225 PENN AVE
SCRANTON, PA 18503

Lackawanna County (570) 342-1643

BEVERLY BARONE TOMASETTI NP

Nurse Practitioner (Adult Health)

225 PENN AVE
SCRANTON, PA 18503

Lackawanna County (570) 342-7864

ROBERT J. CONCINI PA-C

Physician Assistant (Medical)

225 PENN AVE
SCRANTON, PA 18503

Lackawanna County (570) 342-7864

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 Kristine Kelley's NPI number?

The NPI number for Kristine Kelley is 1811968621. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Kristine Kelley located?

Kristine Kelley practices at 225 Penn Ave, Scranton, PA 18503. The listed phone number is (570) 342-7864.

What is Kristine Kelley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kristine Kelley enrolled in Medicare?

Yes. Kristine Kelley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristine Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Kelley reassigns Medicare benefits to Delta Medix PC (Scranton, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristine Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristine Kelley was last updated on January 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.